Bergfeld, Scott Douglas

Bergfeld, Scott Douglas is an sole proprietor health care provider with primary practice located at 602 Indiana Ave , Lubbock TX 79415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bergfeld, Scott Douglas can be contacted via phone (806) 775-9700.

Contact Information

Primary practice address
602 Indiana Ave Lubbock TX 79415
Phone: (806) 775-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X J4715 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J4715 Texas

Profile Details

NPI number 1548259880
LBN Legal business name Bergfeld, Scott Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated May 23rd, 2019 - about 7 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 1548259880 NPPES
Texas MEDICAID 139354820

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