Bryan John Bergh, MD
Psychiatry & Neurology, Child & Adolescent Psychiatry in Minneapolis, MN. Individual provider (NPI-1).
Details
- NPI
- 1295817336
- Entity type
- Individual (NPI-1)
- Name
- Bryan John Bergh
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Aug 7, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 32374 | MN | Yes |
Practice location
1801 Nicollet Ave.Minneapolis, MN 55403
Phone 612-348-9840 · Fax 612-596-7900
Mailing address
525 Portland AveHsb Mc 952
Minneapolis, MN 55415-1533
Phone 612-348-9840 · Fax 612-596-7900
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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