Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN G BERGMANN, DDS
ActiveGeneral Dentistry · OKAUCHEE, WI
Registration Details
- NPI Number
- 1053494781
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2006 (19.518903722863 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2456-015 (WI)
Practice Information
- Address
-
N50W34770 WISCONSIN AVEOKAUCHEE, WI, 530699750Browse WI providers · Browse ZIP 53069
- Phone
- 2625670770
- Fax
- 2625670851
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.