MRS. BETHANY LYNN BERGHOFFER PA C NPI 1295702371

NPI Information

NPI: 1295702371
Provider Name: MRS. BETHANY LYNN BERGHOFFER, PA C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2863 ALT 19
PALM HARBOR, FL
ZIP 34683
Phone: (272) 781-5652
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MRS. Bethany Lynn Berghoffer, PA C is a medical physician assistant in Palm Harbor, FL. MRS. Bethany Lynn Berghoffer, PA C NPI is 1295702371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2863 ALT 19
PALM HARBOR, FL
ZIP 34683-926
Phone: (272) 781-5652
Fax: (727) 786-5416

The NPI 1295702371 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 3/7/2006 and was last updated on 3/17/2018.

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
1	363AM0700X	Physician Assistant	Medical	0110001819	VIRGINIA	No
2	363AM0700X	Physician Assistant	Medical	PA9104980	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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