Bergman, James Jay
Bergman, James Jay is an individual health care provider with primary practice located at 1215 Pleasant St Suite 400, Des Moines IA 50309-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bergman, James Jay can be contacted via phone (515) 241-5722.Contact Information
Primary practice address
1215 Pleasant St Suite 400
Des Moines IA 50309-1416
Phone: (515) 241-5722
Fax: (515) 241-4403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 17916 | Iowa |
Profile Details
| NPI number | 1629055470 |
|---|---|
| LBN Legal business name | Bergman, James Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1629055470 | NPPES |
| Iowa | MEDICAID | 0073395 | |
| Iowa | Other | 17916 | |
| Iowa | Other | IA0112 | |
| Iowa | Other | 07339 | |
| Iowa | Other | 4278 |
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