Bergman, Rusty

Bergman, Rusty is an individual health care provider with primary practice located at 2750 Clay Edwards Dr Ste 200A , North Kansas City MO 64116-3237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bergman, Rusty can be contacted via phone (816) 968-9320.

Contact Information

Primary practice address
2750 Clay Edwards Dr Ste 200A North Kansas City MO 64116-3237
Phone: (816) 968-9320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 111070 Missouri

Profile Details

NPI number 1649277500
LBN Legal business name Bergman, Rusty
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Nov 5th, 2007 - about 17 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 1649277500 NPPES
Missouri Other 33625014 BLUE SHIELD KANSAS CITY
Missouri Other 7749362 BLUE SHIELD KANSAS CITY

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