MICHAEL BERGMAN NPI 1790225084

NPI Information

  • NPI: 1790225084
  • Provider Name: MICHAEL BERGMAN
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 6327 S GRAND BLVD
    APT 1G
    SAINT LOUIS, MO
    ZIP 63111
  • Phone: (314) 333-2103

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NPI Details

Michael Bergman is a specialist in Saint Louis, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Michael Bergman NPI is 1790225084. 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:

6327 S GRAND BLVD
APT 1G
SAINT LOUIS, MO
ZIP 63111-653
Phone: (314) 333-2103

The enumeration date for this NPI number is 3/6/2017 and was last updated on 3/6/2017.

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
1174400000XSpecialistYes

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: 3/30/2025

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