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NPI Code Detail

MEDICARE: DR. DAVID BENJAMIN BERGMAN M.D.

MEDICARE:  DR. DAVID BENJAMIN BERGMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG19527CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285737130
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID BENJAMIN BERGMAN M.D.
Provider Business Mailing Address
First Line : 14750 EL CAMINO REAL
Second Line : CASA PALMERA
City : DEL MAR
State : CA
Zip : 92014-4204
Country : US
Telephone Number : 858-481-4411
Fax Number : 858-792-7356
Provider Business Practice Location Address
First Line : 14750 EL CAMINO REAL
Second Line :
City : DEL MAR
State : CA
Zip : 92014-4204
Country : US
Telephone Number : 858-481-4411
Fax Number : 858-792-7356
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 10/22/2009

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Directions to “ DR. DAVID BENJAMIN BERGMAN M.D.” Practice Location

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