Lawrence Russell Bergman in Wellington - Adolescent Medicine
Lawrence Russell Bergman - NPI 1073518130
Lawrence Russell Bergman is a Adolescent Medicine in Wellington, Florida. Lawrence Russell Bergman practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Lawrence Russell Bergman is 1073518130. The last update date is 2011-09-21.
Lawrence Russell Bergman's current location address is 10115 W Forest Hill Blvd, Wellington, Florida. You can contact this provider via phone number 5617985565 and fax number 5617989756. The mailing address for Lawrence Russell Bergman is 10115 W Forest Hill Blvd, Wellington, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Russell Bergman |
|---|---|
| Address | 10115 W Forest Hill Blvd, Wellington, Florida |
| Phone Number | 5617985565 |
| Fax Number | 5617989756 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073518130 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2011-09-21 |
Provider Mailing Address Detail
| Address | 10115 W Forest Hill Blvd |
|---|---|
| City | Wellington |
| State | Florida (FL) |
| Post Code | 3341431020 |
| Phone Number | 5617985565 |
| Fax Number | 5617989756 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | ME56164 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3224800 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lawrence Russell Bergman by the Centers for Medicare & Medicaid Services?
The Lawrence Russell Bergman has been assigned the NPI (National Provider Identifier) 1073518130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Lawrence Russell Bergman?
The Lawrence Russell Bergman is situated at 10115 W Forest Hill Blvd, in the city of Wellington, state of FL, with the zip code 3341431020.
What is Lawrence Russell Bergman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lawrence Russell Bergman is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.
On what date did the Lawrence Russell Bergman receive the assignment of its 1073518130 from the Centers for Medicare & Medicaid Services?
The Lawrence Russell Bergman was issued its 1073518130 by the Centers for Medicare & Medicaid Services on 2005-06-16.
When was the information regarding Lawrence Russell Bergman most recently updated?
The details pertaining to the Lawrence Russell Bergman, including its address, specialty, and other relevant information, were last refreshed on 2011-09-21.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN