Kenneth S Bergman in Gig Harbor - Radiation Oncology

Kenneth S Bergman - NPI 1669443032

Kenneth S Bergman is a Radiation Oncology in Gig Harbor, Washington. Kenneth S Bergman practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Kenneth S Bergman is 1669443032. The last update date is 2012-08-28.

Kenneth S Bergman's current location address is 11511 Canterwood Blvd Nw, Gig Harbor, Washington. You can contact this provider via phone number 2538515155 and fax number 2538515367. The mailing address for Kenneth S Bergman is 11511 Canterwood Blvd Nw, Gig Harbor, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth S Bergman
Address 11511 Canterwood Blvd Nw, Gig Harbor, Washington
Phone Number 2538515155
Fax Number 2538515367
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1669443032
Provider Enumeration Date 2006-02-01
Last Updated Date 2012-08-28

Provider Mailing Address Detail

Address 11511 Canterwood Blvd Nw
City Gig Harbor
State Washington (WA)
Post Code 983325813
Phone Number 2538515155
Fax Number 2538515367

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No MD00030100
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8293987 WA --

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FAQs about Kenneth S Bergman

What is the unique 10-digit identifier code issued to Kenneth S Bergman by the Centers for Medicare & Medicaid Services?

The Kenneth S Bergman has been assigned the NPI (National Provider Identifier) 1669443032 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Kenneth S Bergman located?

The Kenneth S Bergman is located at 11511 Canterwood Blvd Nw, Gig Harbor, WA 983325813.

What is Kenneth S Bergman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth S Bergman is Radiation Oncology, and the taxonomy code that classifies this field of practice is 2085R0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1669443032 to Kenneth S Bergman?

The Kenneth S Bergman received its 1669443032 assignment from the Centers for Medicare & Medicaid Services on 2006-02-01.

As of what date were the Kenneth S Bergman's details last updated?

The information pertaining to the Kenneth S Bergman, including its address, specialty, and other details, was most recently updated on 2012-08-28.

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