Brenda L. Bergman, Pllc
LBN: Brenda L. Bergman, Pllc
Brenda L. Bergman, Pllc is an health care organization with primary practice located at 306 W Superior St Suite 608, Duluth MN 55802-1803. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Brenda L. Bergman, Pllc can be contacted via phone (218) 740-3060, or through Bergman, Brenda via phone (218) 740-3060.
Contact Information
Primary practice address
306 W Superior St Suite 608
Duluth MN 55802-1803
Phone: (218) 740-3060
Fax: (218) 740-3060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP1730 | Minnesota |
Profile Details
| NPI number | 1407867955 |
|---|---|
| LBN Legal business name | Brenda L. Bergman, Pllc |
| DBA Doing business as | |
| Authorized official | Bergman, Brenda PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 14th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407867955 | NPPES |
| Minnesota | MEDICAID | 806547100 | |
| Minnesota | Other | 61-24268 | |
| Minnesota | Other | 358J1BE | |
| Minnesota | Other | 117597 |
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