Bergant, James A

Bergant, James A is an individual health care provider with primary practice located at 7611 State Line Rd Ste240, Kansas City MO 64114-6801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bergant, James A can be contacted via phone (816) 363-1155.

Contact Information

Primary practice address
7611 State Line Rd Ste240 Kansas City MO 64114-6801
Fax: (816) 363-1149
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0414406 Kansas
Allopathic & Osteopathic Physicians / Urology 208800000X 105379 Missouri

Profile Details

NPI number 1255380754
LBN Legal business name Bergant, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255380754 NPPES
Other 18853091 BCBS
Other 340016718 BCBS
MEDICAID 100139280B BCBS

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