Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH R BERGMAN JR., MD
ActiveDR. KENNETH R BERGMAN JR., MD is a 207YS0012X healthcare provider located in ELKTON, Virginia. NPI 1659349447 is currently active in the NPPES registry. Verify at CMS.
207YS0012X · ELKTON, VA
Registration Details
- NPI Number
- 1659349447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2006 (20.477757363335 yrs)
- Last Updated
- Jan 2, 2025
- Licenses
-
0101102580 (VA)0101102580 (VA)
Practice Information
- Address
-
4116 BROWN MOUNTAIN LNELKTON, VA, 228273409Browse VA providers · Browse ZIP 22827
- Phone
- 5712467223
- Primary Specialty
-
207YS0012X
207YS0012X
- Additional Specialty
- Otolaryngology
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.