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NPI Code Detail

MEDICARE: DR. RILEY BERGMAN

MEDICARE: DR. RILEY BERGMAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1932045887
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RILEY BERGMAN
Provider Business Mailing Address
First Line : 719 THOMPSON LN STE 20400
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-4600
Country : US
Telephone Number : 615-936-2187
Fax Number : 615-936-1254
Provider Business Practice Location Address
First Line : 719 THOMPSON LN STE 20400
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-4600
Country : US
Telephone Number : 615-936-2187
Fax Number : 615-936-1254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/27/2026

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Directions to “ DR. RILEY BERGMAN ” Practice Location

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