Bergin, James Todd
Bergin, James Todd is an individual health care provider with primary practice located at 141 Hospital Dr , Salem KY 42078-8043. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bergin, James Todd can be contacted via phone (270) 988-3298.Contact Information
Primary practice address
141 Hospital Dr
Salem KY 42078-8043
Phone: (270) 988-3298
Fax: (270) 988-4642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35724 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35724 | Kentucky |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 35724 | Kentucky |
Profile Details
| NPI number | 1396708566 |
|---|---|
| LBN Legal business name | Bergin, James Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jan 10th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396708566 | NPPES |
| Kentucky | Other | 000000797438 | ANTHEM BLUE CROSS & BLUE SHIELD |
| Kentucky | MEDICAID | 64016157 | ANTHEM BLUE CROSS & BLUE SHIELD |
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