Bergh, Bryan John

Bergh, Bryan John is an individual health care provider with primary practice located at 1801 Nicollet Ave. , Minneapolis MN 55403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Bergh, Bryan John can be contacted via phone (612) 348-9840.

Contact Information

Primary practice address
1801 Nicollet Ave. Minneapolis MN 55403
Phone: (612) 348-9840
Fax: (612) 596-7900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 32374 Minnesota

Profile Details

NPI number 1295817336
LBN Legal business name Bergh, Bryan John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 7th, 2013 - about 12 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 1295817336 NPPES
Minnesota MEDICAID 753273300

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