Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES A BERGSTROM, M.D.
ActiveDR. CHARLES A BERGSTROM, M.D. is a Family Medicine healthcare provider located in FAYETTEVILLE, Georgia. NPI 1104886662 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1104886662
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2006 (20.236998967561 yrs)
- Last Updated
- Dec 30, 2021
- Licenses
-
033030 (GA)033030 (GA)
Practice Information
- Address
-
108 NORTH PARK DR.FAYETTEVILLE, GA, 30214Browse GA providers · Browse ZIP 30214
- Phone
- 7704613466
- Fax
- 7704613884
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. BARRY KENTON HULL | M.D. | 1922096882 |
| KELVIN D. WHITE | M.D. | 1457336935 |
| DR. SHARMANE MARIE GRAY | MD | 1477539252 |
| JEANNETTE I FREI | M.D. | 1679549125 |
| JOHN A KELLER | MD | 1962462937 |
| MR. DARYL SHERROD | M.D. | 1851354740 |
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.