James Patrick Bergstrom in Fridley - Pediatrics
James Patrick Bergstrom - NPI 1588626386
James Patrick Bergstrom is a Pediatrics in Fridley, Minnesota. James Patrick Bergstrom practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for James Patrick Bergstrom is 1588626386. The last update date is 2012-04-06.
James Patrick Bergstrom's current location address is 6401 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635725710 and fax number 7635713008. The mailing address for James Patrick Bergstrom is 6401 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Patrick Bergstrom |
|---|---|
| Address | 6401 University Ave Ne, Fridley, Minnesota |
| Phone Number | 7635725710 |
| Fax Number | 7635713008 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588626386 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2012-04-06 |
Provider Mailing Address Detail
| Address | 6401 University Ave Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554324341 |
| Phone Number | 7635725710 |
| Fax Number | 7635713008 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 44913 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 142969 | MN | UCARE MN | |
| 1032065 | MN | PREFERRED ONE | |
| 1685593 | MN | AMERICA'S PPO | |
| 76642900 | MN | -- | |
| HP36617 | MN | HEALTHPARTNERS | |
| 6605839 | MN | MEDICA UC | |
| 404787 | MN | MEDICA | |
| 65G80BE | MN | BCBS OF MN |
Post Comment/ Review Below
What is the unique identifier code issued to James Patrick Bergstrom by the Centers for Medicare & Medicaid Services?
The James Patrick Bergstrom has been assigned the NPI (National Provider Identifier) 1588626386. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the James Patrick Bergstrom's physical address?
The James Patrick Bergstrom is physically located at 6401 University Ave Ne, in the city of Fridley, MN, with the postal code 554324341.
What is the James Patrick Bergstrom's specialty and taxonomy code?
The James Patrick Bergstrom's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588626386 to James Patrick Bergstrom?
The James Patrick Bergstrom received its 1588626386 assignment from the Centers for Medicare & Medicaid Services on 2006-04-05.
As of what date was the information pertaining to James Patrick Bergstrom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to James Patrick Bergstrom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-06.
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