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NPI Code Detail

MEDICARE: DR. SCOTT BERGMAN PHARM.D.

MEDICARE: DR. SCOTT BERGMAN PHARM.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
11835P1200XPharmacotherapy PharmacistIL

General Provider Information

NPI Number : 1437235314
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT BERGMAN PHARM.D.
Provider Business Mailing Address
First Line : 1804 PROVIDENCE LN
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62711
Country : US
Telephone Number : 217-726-5977
Fax Number : 217-726-5977
Provider Business Practice Location Address
First Line : 701 N 1ST ST # 19636
Second Line : SIU INFECTIOUS DISEASES
City : SPRINGFIELD
State : IL
Zip : 62702-3757
Country : US
Telephone Number : 217-545-4040
Fax Number : 217-545-8025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SCOTT BERGMAN PHARM.D.” Practice Location

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