Bergman, Bradford A
Bergman, Bradford A is an individual health care provider with primary practice located at 1401 25Th St S , Great Falls MT 59405-5183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bergman, Bradford A can be contacted via phone (406) 731-8888.Contact Information
Primary practice address
1401 25Th St S
Great Falls MT 59405-5183
Phone: (406) 731-8888
Fax: (406) 731-8876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9870 | Montana |
Profile Details
| NPI number | 1235130113 |
|---|---|
| LBN Legal business name | Bergman, Bradford A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Apr 5th, 2024 - about 5 months 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 | 1235130113 | NPPES |
| Montana | MEDICAID | 0038311 |
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