Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN SCHUYLER BERGVALL, M.D.
Active Sole ProprietorDR. ETHAN SCHUYLER BERGVALL, M.D. is a Nuclear Medicine healthcare provider located in CHARLOTTESVILLE, Virginia. NPI 1891988242 is currently active in the NPPES registry. Verify at CMS.
Nuclear Medicine · CHARLOTTESVILLE, VA
Registration Details
- NPI Number
- 1891988242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2007 (19.005784964145 yrs)
- Last Updated
- Aug 8, 2023
- License
-
0101268271 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1240 LEE STCHARLOTTESVILLE, VA, 229080817Browse VA providers · Browse ZIP 22908
- Phone
- 4349249333
- Fax
- 4342433938
- Primary Specialty
-
Nuclear Medicine
207U00000X
Other Nuclear Medicine Providers in CHARLOTTESVILLE, VA
| Name | Credential | NPI |
|---|---|---|
| MARK AHLMAN | MD | 1609038272 |
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.