Bergman, A. Gabrielle

Bergman, A. Gabrielle is an individual health care provider with primary practice located at 8 Cadillac Dr Ste 200, Brentwood TN 37027-5087. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bergman, A. Gabrielle can be contacted via phone (615) 376-7370.

Contact Information

Primary practice address
8 Cadillac Dr Ste 200 Brentwood TN 37027-5087
Phone: (615) 376-7370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A45426 California

Profile Details

NPI number 1063493740
LBN Legal business name Bergman, A. Gabrielle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Mar 26th, 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 1063493740 NPPES
Idaho MEDICAID 807558000
Idaho MEDICAID 3002596
Idaho Other 000000391170
Idaho MEDICAID 23482101
Idaho MEDICAID 00A454260
Idaho Other 00A454260
Idaho Other P00146079
Idaho MEDICAID 2510143

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