Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUCAS BERGHOFF, D.O.
Active Sole ProprietorDR. LUCAS BERGHOFF, D.O. is a Sports Medicine healthcare provider located in FORT WAYNE, Indiana. NPI 1821521394 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · FORT WAYNE, IN
Registration Details
- NPI Number
- 1821521394
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2017 (9.2990209985938 yrs)
- Last Updated
- Mar 28, 2022
- Licenses
-
02005944A (IN)02005944A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2516 E DUPONT RDFORT WAYNE, IN, 468251608Browse IN providers · Browse ZIP 46825
- Phone
- 2604583035
- Fax
- 2604583036
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| JEFFREY P. LEVENDA | MD | 1619298411 |
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.