MEDICARE: FRANK BERGMAN D.C., F.A.C.O.

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	111NX0800X	Orthopedic Chiropractor	DC1612	PA

General Provider Information

NPI Number	:	1245232925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK BERGMAN D.C., F.A.C.O.

Provider Business Mailing Address
First Line	:	112 CANTERBURY RD
Second Line	:
City	:	FAIRLESS HILLS
State	:	PA
Zip	:	19030-2311
Country	:	US
Telephone Number	:	215-945-5879
Fax Number	:

Provider Business Practice Location Address
First Line	:	387 STONYBROOK DR
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19055-2021
Country	:	US
Telephone Number	:	215-547-0508
Fax Number	:	215-547-2430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/09/2007

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