Bermingham, Roger P
Bermingham, Roger P is an individual health care provider with primary practice located at 1025 Pennock Pl , Fort Collins CO 80524-3257. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bermingham, Roger P can be contacted via phone (970) 495-8800.Contact Information
Primary practice address
1025 Pennock Pl
Fort Collins CO 80524-3257
Phone: (970) 495-8800
Fax: (970) 495-8820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 22982 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR.0022982 | Colorado |
Profile Details
| NPI number | 1053392282 |
|---|---|
| LBN Legal business name | Bermingham, Roger P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2005 |
| Last updated | Jun 12th, 2014 - about 10 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 | 1053392282 | NPPES |
| Colorado | Other | P01135769 | RAILROAD MEDICARE |
| Colorado | MEDICAID | 01229822 | RAILROAD MEDICARE |
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