Dr. Stephen Eric Bergman, MD
General Practice in Louisville, KY. Individual provider (NPI-1).
NPI number1871761858
StatusActive
Last updated in NPPESFeb 13, 2008
Details
- NPI
- 1871761858
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephen Eric Bergman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2008
- Last updated
- Feb 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 19335 | KY | Yes |
| 207Y00000X | Otolaryngology | 19335 | KY |
Other names
- S. Eric Bergman (Professional Name)
Practice location
1169 Eastern ParkwayMedical Arts Building Ste 3412
Louisville, KY 40217
Phone 502-456-6001
Mailing address
Medical Towers N Bldg 1169Ste 3412
Louisville, KY 40202-2026
Phone 502-456-6001
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