Bergstrom, Roy G

Bergstrom, Roy G is an individual health care provider with primary practice located at 7780 S Broadway Suite 280, Littleton CO 80122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Bergstrom, Roy G can be contacted via phone (303) 738-1100.

Contact Information

Primary practice address
7780 S Broadway Suite 280 Littleton CO 80122
Phone: (303) 738-1100
Fax: (303) 738-1310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 36050 Colorado
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 36050 Colorado

Profile Details

NPI number 1174506422
LBN Legal business name Bergstrom, Roy G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jun 2nd, 2023 - about 2 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 1174506422 NPPES
Colorado MEDICAID 11132833

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