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

DR. STEPHEN RUSSELL BERGMAN, D.O.

Active Sole Proprietor

DR. STEPHEN RUSSELL BERGMAN, D.O. is a Neuromusculoskeletal Medicine & OMM healthcare provider located in HARROGATE, Tennessee. NPI 1609021104 is currently active in the NPPES registry. Verify at CMS.

Neuromusculoskeletal Medicine & OMM · HARROGATE, TN

Registration Details

NPI Number
1609021104
Provider Type
Individual
Gender
Male
NPI Issued
Nov 25, 2008 (17.530224671086 yrs)
Last Updated
Mar 20, 2023
Licenses
2007018743 (MO)
E-12201 (AR)
2007018743 (MO)
E-12201 (AR)
Sole Proprietor
Yes

Practice Information

Address
6965 CUMBERLAND GAP PKWY
HARROGATE, TN, 377528245
Browse TN providers · Browse ZIP 37752
Phone
4238696249
Primary Specialty
Neuromusculoskeletal Medicine & OMM
204C00000X
Additional Specialty
General Practice
Additional Specialty
General Practice
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.