Bergen, Gary

Bergen, Gary is an individual health care provider with primary practice located at 800 Goodlette Rd N Suite 370, Naples FL 34102-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bergen, Gary can be contacted via phone (239) 624-0800.

Contact Information

Primary practice address
800 Goodlette Rd N Suite 370 Naples FL 34102-5400
Fax: (239) 643-9062
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME58044 Florida

Profile Details

NPI number 1295833812
LBN Legal business name Bergen, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 21st, 2022 - about 2 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 1295833812 NPPES
Florida Other 23564V MEDICARE
Florida MEDICAID 273217300 MEDICARE
Florida Other 23564 MEDICARE

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