Bergman, David Moshe
Bergman, David Moshe is an sole proprietor health care provider with primary practice located at 9570 Nesbit Ferry Rd Suite 201, Alpharetta GA 30022-6859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bergman, David Moshe can be contacted via phone (770) 640-8119.Contact Information
Primary practice address
9570 Nesbit Ferry Rd Suite 201
Alpharetta GA 30022-6859
Phone: (770) 640-8119
Fax: (770) 988-5553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 051116 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 3085901-1205 | Utah |
Profile Details
| NPI number | 1467412791 |
|---|---|
| LBN Legal business name | Bergman, David Moshe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Oct 17th, 2016 - about 9 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 | 1467412791 | NPPES |
| Georgia | MEDICAID | 000938704I |
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