Bergman, Kenneth R

Bergman, Kenneth R is an individual health care provider with primary practice located at 4116 Brown Mountain Ln , Elkton VA 22827-3409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Bergman, Kenneth R can be contacted via phone (571) 246-7223.

Contact Information

Primary practice address
4116 Brown Mountain Ln Elkton VA 22827-3409
Phone: (571) 246-7223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X 0101102580 Virginia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101102580 Virginia

Profile Details

NPI number 1659349447
LBN Legal business name Bergman, Kenneth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 2nd, 2025 - about last year

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 1659349447 NPPES
Virginia Other P00406443 RR MEDICARE

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