Bergene, James David

Bergene, James David is an individual health care provider with primary practice located at 489 State St , Bangor ME 04401-6616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bergene, James David can be contacted via phone (207) 973-7000.

Contact Information

Primary practice address
489 State St Bangor ME 04401-6616
Phone: (207) 973-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DR.0067337 Colorado
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 11718A Wyoming

Profile Details

NPI number 1508285909
LBN Legal business name Bergene, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2014
Last updated Mar 4th, 2023 - about 3 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 1508285909 NPPES
Colorado MEDICAID 9000199882

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