Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAE JORDAN BERGH, PA-C
ActiveTRAE JORDAN BERGH, PA-C is a Surgical Physician Assistant healthcare provider located in DAKOTA DUNES, South Dakota. NPI 1992286223 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · DAKOTA DUNES, SD
Registration Details
- NPI Number
- 1992286223
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2018 (7.9312929564467 yrs)
- Last Updated
- Feb 25, 2020
- License
-
1156 (SD)
Practice Information
- Address
-
575 N SIOUX POINT RDDAKOTA DUNES, SD, 570495312Browse SD providers · Browse ZIP 57049
- Phone
- 6052172667
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in DAKOTA DUNES, SD
| Name | Credential | NPI |
|---|---|---|
| CARMEL BERGLIN | P.A. | 1619971959 |
| SCOTT MARTIN FEESE | PA-C | 1225003999 |
| BRENDA L VAN SCOYK | PA C | 1689640153 |
| MS. NICHOLE RENAE FRIESSEN | PA | 1790746105 |
| ELIZABETH SHEPPERD FRANK | PA-C | 1336175868 |
| ANNE C JENEARY | PA | 1811097447 |
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.