Bergeson, Ryan

Bergeson, Ryan is an individual health care provider with primary practice located at 1520 Leander Rd Ste 101 , Georgetown TX 78628-8842. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Bergeson, Ryan can be contacted via phone (512) 942-2499.

Contact Information

Primary practice address
1520 Leander Rd Ste 101 Georgetown TX 78628-8842
Phone: (512) 942-2499
Fax: (512) 943-0001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2003-0222 New Mexico
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 41610 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X N2403 Texas

Profile Details

NPI number 1154460152
LBN Legal business name Bergeson, Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jun 23rd, 2020 - about 6 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 1154460152 NPPES
Kentucky Other 000000577128 ANTHEM (SPINE INSTITUTE)
Kentucky Other 000000586305 ANTHEM (SPINE INSTITUTE)
Kentucky MEDICAID 219591906 ANTHEM (SPINE INSTITUTE)

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