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
Phone: (816) 363-1155
Fax: (816) 363-1149
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255380754 | NPPES |
Other | 18853091 | BCBS | |
Other | 340016718 | BCBS | |
MEDICAID | 100139280B | BCBS |
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