Bergman, Robert E.

Bergman, Robert E. is an individual health care provider with primary practice located at 2550 Windy Hill Rd Se Suite 302, Marietta GA 30067-8665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bergman, Robert E. can be contacted via phone (678) 574-0943.

Contact Information

Primary practice address
2550 Windy Hill Rd Se Suite 302 Marietta GA 30067-8665
Phone: (678) 574-0943
Fax: (678) 574-0943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 21378 Georgia

Profile Details

NPI number 1437146362
LBN Legal business name Bergman, Robert E.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Aug 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 1437146362 NPPES
Georgia MEDICAID 000210581K
Georgia MEDICAID 000210581L
Georgia MEDICAID 000210581N
Georgia MEDICAID 000210581M
Georgia MEDICAID 000210581J

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