MEDICARE: MR. PHILIP WILLIAM BERGOLD PT

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	225100000X	Physical Therapist	5058	WI

Other Identifiers

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

General Provider Information

NPI Number	:	1629073135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PHILIP WILLIAM BERGOLD PT

Provider Business Mailing Address
First Line	:	PO BOX 370081
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53237-1181
Country	:	US
Telephone Number	:	414-940-7278
Fax Number	:	414-235-8448

Provider Business Practice Location Address
First Line	:	5889 RIVERSIDE DR
Second Line	:
City	:	GREENDALE
State	:	WI
Zip	:	53129-2817
Country	:	US
Telephone Number	:	414-940-7278
Fax Number	:	414-235-8448

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

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	02/07/2016

Similar Medicare Providers

1710323563 — PHYSICALLY CORRECT PHYSICAL THERAPY SERVICES, LLC
Practice Location Address:

5889 RIVERSIDE DR
GREENDALE, WI
53129-2817

Practice Phone: 414-940-7278
Practice Fax: 414-235-4884

1083235113 — MOHSIN ALTAF MD
Practice Location Address:

5203 S 68TH ST APT A214
GREENDALE, WI
53129-1167

Practice Phone: 773-754-5538
Practice Fax:

1346170164 — KATIE L HOFFMEIER
Practice Location Address:

6815 SOUTHWAY
GREENDALE, WI
53129-2428

Practice Phone: 414-423-2700
Practice Fax:

1295665040 — LAUREN ZASTROW
Practice Location Address:

6815 SOUTHWAY
GREENDALE, WI
53129-2428

Practice Phone: 414-423-2700
Practice Fax:

1396675047 — JENNIFER STOLTZ MS
Practice Location Address:

5701 W COLLEGE AVE
GREENDALE, WI
53129-2802

Practice Phone: 414-731-7681
Practice Fax:

1942147293 — MARY EILEEN MCDONOUGH AU.D.
Practice Location Address:

7317 DARTMOOR AVE
GREENDALE, WI
53129-2238

Practice Phone: 262-212-5055
Practice Fax:

Directions to “ MR. PHILIP WILLIAM BERGOLD PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.