Bergsten, Mark D

Bergsten, Mark D is an individual health care provider with primary practice located at 721 Fairfax Ave 3Rd Floor, Norfolk VA 23507-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bergsten, Mark D can be contacted via phone (757) 446-5915.

Contact Information

Primary practice address
721 Fairfax Ave 3Rd Floor Norfolk VA 23507-2007
Fax: (757) 446-5089
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0102202299 Virginia

Profile Details

NPI number 1962663054
LBN Legal business name Bergsten, Mark D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2008
Last updated Aug 3rd, 2015 - 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 1962663054 NPPES
Virginia Other 10038954 SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other 360653 SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other PAR SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other 10038956 SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other 10279 SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other -017 SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other 9111220 SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other PAR SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other PAR SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia MEDICAID 1962663054 SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other 2190396 SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia MEDICAID 5910279 SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other PAR SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other 8786189 SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other PAR SENTARA/OPTIMA PHYSICAL MEDICINE
Virginia Other PAR SENTARA/OPTIMA PHYSICAL MEDICINE

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