Provider Type Icon

DR. PETER ROALD BERGETHON M.D. NPI 1043265333


NPI Information

NPI: 1043265333
Provider Name: DR. PETER ROALD BERGETHON, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
750 WASHINGTON ST
TUFTS-NEW ENGLAND MEDICAL CENTER #314
BOSTON, MA
ZIP 02111
Phone: (617) 636-5848
Get Directions

DR. Peter Roald Bergethon, M.D. is a neurology psychiatry neurology in Boston, MA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Peter Roald Bergethon, M.D. NPI is 1043265333. 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:

750 WASHINGTON ST
TUFTS-NEW ENGLAND MEDICAL CENTER #314
BOSTON, MA
ZIP 02111-526
Phone: (617) 636-5848
Fax: (617) 636-8199

The enumeration date for this NPI number is 5/24/2006 and was last updated on 12/1/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology55896MASSACHUSETTSYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.