Bergman, Michael M

Bergman, Michael M is an individual health care provider with primary practice located at 5361 Nw 22Nd Ave , Miami FL 33142-8035. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bergman, Michael M can be contacted via phone (305) 637-6400.

Contact Information

Primary practice address
5361 Nw 22Nd Ave Miami FL 33142-8035
Phone: (305) 637-6400
Fax: (305) 636-5155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 54014 Massachusetts
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME129274 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME129274 Florida

Profile Details

NPI number 1659437572
LBN Legal business name Bergman, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jun 22nd, 2020 - about 4 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 1659437572 NPPES
Florida MEDICAID 019618200

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