DR. STEPHEN ERIC BERGMAN MD NPI 1871761858

NPI Information

NPI: 1871761858
Provider Name: DR. STEPHEN ERIC BERGMAN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1169 EASTERN PARKWAY
MEDICAL ARTS BUILDING STE 3412
LOUISVILLE, KY
ZIP 40217
Phone: (502) 456-6001
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DR. Stephen Eric Bergman, MD is a general practice in Louisville, KY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Stephen Eric Bergman, MD NPI is 1871761858. 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:

1169 EASTERN PARKWAY
MEDICAL ARTS BUILDING STE 3412
LOUISVILLE, KY
ZIP 40217
Phone: (502) 456-6001

The enumeration date for this NPI number is 2/13/2008 and was last updated on 2/13/2008.

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	207Y00000X	Otolaryngology		19335	KENTUCKY	No
2	208D00000X	General Practice		19335	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D32280	MEDICARE UPIN	KENTUCKY
2	64193352	MEDICAID	KENTUCKY

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

NPI Synchronization or Removal

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