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DR. KENNETH ROBERT BERGMAN M.D. NPI 1013912252


NPI Information

NPI: 1013912252
Provider Name: DR. KENNETH ROBERT BERGMAN, M.D.
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

PECOS Registration: Yes

Address:
13890 BRADDOCK RD
STE 206
CENTREVILLE, VA
ZIP 20121
Phone: (703) 263-2333
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DR. Kenneth Robert Bergman, M.D. is an allergy allergy immunology in Centreville, VA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee DR. Kenneth Robert Bergman, M.D. NPI is 1013912252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13890 BRADDOCK RD
STE 206
CENTREVILLE, VA
ZIP 20121-437
Phone: (703) 263-2333
Fax: (703) 263-0361

The NPI 1013912252 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergy0101025702VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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