Bergman, Stephen Eric

Bergman, Stephen Eric is an sole proprietor health care provider with primary practice located at 1169 Eastern Parkway Medical Arts Building Ste 3412, Louisville KY 40217. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bergman, Stephen Eric can be contacted via phone (502) 456-6001.

Contact Information

Primary practice address
1169 Eastern Parkway Medical Arts Building Ste 3412 Louisville KY 40217
Phone: (502) 456-6001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 19335 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19335 Kentucky

Profile Details

NPI number 1871761858
LBN Legal business name Bergman, Stephen Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2008
Last updated Feb 13th, 2008 - about 18 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 1871761858 NPPES
Kentucky MEDICAID 64193352

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