Bergman, Randy N

Bergman, Randy N is an individual health care provider with primary practice located at 12702 Ih35 N , Live Oak TX 78233-2609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bergman, Randy N can be contacted via phone (210) 650-9669.

Contact Information

Primary practice address
12702 Ih35 N Live Oak TX 78233-2609
Phone: (210) 650-9669
Fax: (210) 650-0750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G2903 Texas

Profile Details

NPI number 1457401101
LBN Legal business name Bergman, Randy N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jun 2nd, 2014 - about 11 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 1457401101 NPPES
Texas MEDICAID 134941711
Texas Other P01136131

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