Bryan John Bergh in Minneapolis - Child & Adolescent Psychiatry
Bryan John Bergh - NPI 1295817336
Bryan John Bergh is a Child & Adolescent Psychiatry in Minneapolis, Minnesota. Bryan John Bergh practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Bryan John Bergh is 1295817336. The last update date is 2013-08-07.
Bryan John Bergh's current location address is 525 Portland Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6123489840 and fax number 6125967900. The mailing address for Bryan John Bergh is 525 Portland Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan John Bergh |
|---|---|
| Address | 525 Portland Ave, Minneapolis, Minnesota |
| Phone Number | 6123489840 |
| Fax Number | 6125967900 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295817336 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2013-08-07 |
Provider Mailing Address Detail
| Address | 525 Portland Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554151533 |
| Phone Number | 6123489840 |
| Fax Number | 6125967900 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 32374 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 753273300 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bryan John Bergh by the Centers for Medicare & Medicaid Services?
The Bryan John Bergh has been assigned the NPI (National Provider Identifier) 1295817336. 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 Bryan John Bergh's physical address?
The Bryan John Bergh is physically located at 525 Portland Ave, in the city of Minneapolis, MN, with the postal code 554151533.
What is Bryan John Bergh's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bryan John Bergh's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services assign the 1295817336 to Bryan John Bergh?
The Centers for Medicare & Medicaid Services assigned the 1295817336 to Bryan John Bergh on 2006-10-19.
As of what date was the information pertaining to Bryan John Bergh, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bryan John Bergh, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-08-07.
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