Healthcare Provider Details

I. General information

NPI: 1336193812
Provider Name (Legal Business Name): SIGURD HARALD BERVEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE 3RD FLOOR
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

500 PARNASSUS AVE. BOX 0728 ROOM MU 320W
SAN FRANCISCO CA
94143-0728
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2739
  • Fax: 415-353-2248
Mailing address:
  • Phone: 415-514-1519
  • Fax: 415-476-1304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG85133
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: