Bergin, James Todd

Bergin, James Todd is an individual health care provider with primary practice located at 141 Hospital Dr , Salem KY 42078-8043. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bergin, James Todd can be contacted via phone (270) 988-3298.

Contact Information

Primary practice address
141 Hospital Dr Salem KY 42078-8043
Phone: (270) 988-3298
Fax: (270) 988-4642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35724 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 35724 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35724 Kentucky

Profile Details

NPI number 1396708566
LBN Legal business name Bergin, James Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jan 10th, 2013 - about 12 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 1396708566 NPPES
Kentucky Other 000000797438 ANTHEM BLUE CROSS & BLUE SHIELD
Kentucky MEDICAID 64016157 ANTHEM BLUE CROSS & BLUE SHIELD

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