MEDICARE: KARIN K. BERGMAN, M.D., P.A.

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
1	207Q00000X	Family Medicine Physician	L3582	TX

General Provider Information

NPI Number	:	1942498274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARIN K. BERGMAN, M.D., P.A.

Provider Business Mailing Address
First Line	:	5150 WARREN PKWY STE 705B
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-7463
Country	:	US
Telephone Number	:	214-494-6200
Fax Number	:	214-494-6075

Provider Business Practice Location Address
First Line	:	5150 WARREN PKWY STE 705B
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-7463
Country	:	US
Telephone Number	:	214-494-6200
Fax Number	:	214-494-6075

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KARIN KAY BERGMAN
Credential	:	MD
Telephone Number	:	214-494-6200

Provider Enumeration Date	:	10/11/2007
Last Update Date	:	03/20/2018

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