Charles P. Bergstrom in Milwaukee - Pediatric Critical Care Medicine
Charles P. Bergstrom - NPI 1225059421
Charles P. Bergstrom is a Pediatric Critical Care Medicine in Milwaukee, Wisconsin. Charles P. Bergstrom practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Charles P. Bergstrom is 1225059421. The last update date is 2021-01-29.
Charles P. Bergstrom's current location address is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142663360 and fax number 4142663563. The mailing address for Charles P. Bergstrom is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles P. Bergstrom |
|---|---|
| Address | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4142663360 |
| Fax Number | 4142663563 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1225059421 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2021-01-29 |
Provider Mailing Address Detail
| Address | 9000 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532264874 |
| Phone Number | 4142663360 |
| Fax Number | 4142663563 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 65736 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A878510 | CA | -- | |
| 2961219 | NY | -- | |
| 1225059421 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Charles P. Bergstrom by the Centers for Medicare & Medicaid Services?
The Charles P. Bergstrom has been assigned the NPI (National Provider Identifier) 1225059421 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Charles P. Bergstrom's physical address?
The Charles P. Bergstrom is physically located at 9000 W Wisconsin Ave, in the city of Milwaukee, WI, with the postal code 532264874.
What is the Charles P. Bergstrom's specialty and taxonomy code?
The Charles P. Bergstrom's specialty is Pediatric Critical Care Medicine, and the corresponding taxonomy code is 2080P0203X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225059421 to Charles P. Bergstrom?
The Centers for Medicare & Medicaid Services assigned the 1225059421 to Charles P. Bergstrom on 2006-07-22.
When was the information regarding Charles P. Bergstrom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charles P. Bergstrom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-01-29.