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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BARRY J BERGEN, MD

Active Sole Proprietor

DR. BARRY J BERGEN, MD is a Neurology healthcare provider located in COTTONWOOD, Idaho. NPI 1538165592 is currently active in the NPPES registry. Verify at CMS.

Neurology · COTTONWOOD, ID

Registration Details

NPI Number
1538165592
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2005 (21.12532086958 yrs)
Last Updated
Jul 9, 2007
License
M4883 (ID)
Sole Proprietor
Yes

Practice Information

Address
701 LEWISTON ST
COTTONWOOD, ID, 835229750
Browse ID providers · Browse ZIP 83522
Phone
2089623267
Fax
2089622313
Primary Specialty
Neurology
2084N0400X
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.