Brenda L. Bergman, Pllc

LBN: Brenda L. Bergman, Pllc
Brenda L. Bergman, Pllc is an health care organization with primary practice located at 306 W Superior St Suite 608, Duluth MN 55802-1803. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Brenda L. Bergman, Pllc can be contacted via phone (218) 740-3060, or through Bergman, Brenda via phone (218) 740-3060.

Contact Information

Primary practice address
306 W Superior St Suite 608 Duluth MN 55802-1803
Phone: (218) 740-3060
Fax: (218) 740-3060
Website:
Map and Directions
Authorized official contact:
Name: Bergman, Brenda PH.D.
Phone: (218) 740-3060

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1730 Minnesota

Profile Details

NPI number 1407867955
LBN Legal business name Brenda L. Bergman, Pllc
DBA Doing business as
Authorized official Bergman, Brenda PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 14th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407867955 NPPES
Minnesota MEDICAID 806547100
Minnesota Other 61-24268
Minnesota Other 358J1BE
Minnesota Other 117597

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