Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK M. BERGSTEIN, M.D.
Active Sole ProprietorDR. JACK M. BERGSTEIN, M.D. is a General Surgery healthcare provider located in MARYSVILLE, Washington. NPI 1154366300 is currently active in the NPPES registry. Verify at CMS.
General Surgery · MARYSVILLE, WA
Registration Details
- NPI Number
- 1154366300
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2006 (20.159869579525 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
MD422547 (PA)MD60641501 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7205 54TH PL NE UNIT AMARYSVILLE, WA, 982708932Browse WA providers · Browse ZIP 98270
- Phone
- 7248332171
- Fax
- 3603868019
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
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.