Bergeson, Ryan
Bergeson, Ryan is an individual health care provider with primary practice located at 1520 Leander Rd Ste 101 , Georgetown TX 78628-8842. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Bergeson, Ryan can be contacted via phone (512) 942-2499.Contact Information
Primary practice address
1520 Leander Rd Ste 101
Georgetown TX 78628-8842
Phone: (512) 942-2499
Fax: (512) 943-0001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2003-0222 | New Mexico |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 41610 | Kentucky |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | N2403 | Texas |
Profile Details
| NPI number | 1154460152 |
|---|---|
| LBN Legal business name | Bergeson, Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jun 23rd, 2020 - about 5 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 | 1154460152 | NPPES |
| Kentucky | Other | 000000577128 | ANTHEM (SPINE INSTITUTE) |
| Kentucky | Other | 000000586305 | ANTHEM (SPINE INSTITUTE) |
| Kentucky | MEDICAID | 219591906 | ANTHEM (SPINE INSTITUTE) |
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