Bergman, Cory
Bergman, Cory is an individual health care provider with primary practice located at 2800 3Rd St , Rapid City SD 57701-7374. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Bergman, Cory can be contacted via phone (605) 719-3110.Contact Information
Primary practice address
2800 3Rd St
Rapid City SD 57701-7374
Phone: (605) 719-3110
Fax: (605) 341-0278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 60841848 | Washington |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A141899 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 13306A | Wyoming |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 33318 | Nebraska |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TL.0005316 | Colorado |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 12382 | South Dakota |
Profile Details
| NPI number | 1285049940 |
|---|---|
| LBN Legal business name | Bergman, Cory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2014 |
| Last updated | Mar 15th, 2021 - about 5 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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