Bergeson, Bradley J

Bergeson, Bradley J is an individual health care provider with primary practice located at 2101 Court St , Sioux City IA 51104-3243. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Bergeson, Bradley J can be contacted via phone (712) 293-4700.

Contact Information

Primary practice address
2101 Court St Sioux City IA 51104-3243
Phone: (712) 293-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 608 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3721 Nebraska
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1205052420
LBN Legal business name Bergeson, Bradley J
Credentials MED, LMHP, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Nov 22nd, 2016 - 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.

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