Bergfeld, Scott Douglas
Bergfeld, Scott Douglas is an sole proprietor health care provider with primary practice located at 602 Indiana Ave , Lubbock TX 79415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bergfeld, Scott Douglas can be contacted via phone (806) 775-9700.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | J4715 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J4715 | Texas |
Profile Details
| NPI number | 1548259880 |
|---|---|
| LBN Legal business name | Bergfeld, Scott Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | May 23rd, 2019 - 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 | 1548259880 | NPPES |
| Texas | MEDICAID | 139354820 |
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