Bergfeld, Brian

Bergfeld, Brian is an individual health care provider with primary practice located at 7419 Watson Rd , Saint Louis MO 63119-4415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bergfeld, Brian can be contacted via phone (314) 400-3360.

Contact Information

Primary practice address
7419 Watson Rd Saint Louis MO 63119-4415
Phone: (314) 400-3360
Fax: (314) 400-3361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2004015369 Missouri

Profile Details

NPI number 1750375812
LBN Legal business name Bergfeld, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jun 29th, 2018 - about 8 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 1750375812 NPPES
Missouri MEDICAID 209303502

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