Jack William Bergman PA-C

  • NPI 1043790553
According to our database, the NPI number for Jack William Bergman PA-C is 1043790553 and activated since 5 years ago. Jack William Bergman PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 3931 Louisiana Ave S, St Louis Park, MN 55426. You can also contact Jack William Bergman PA-C via telephone number is (952) 993-3230. Provider NPI information was last updated on 01/17/2020.

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Overview of Jack William Bergman PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/15/2018
  • Last updated: 01/17/2020

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 13280
  • License State: MN

Provider Mailing Address

  • Address: 3931 Louisiana Ave S
    St Louis Park, MN 55426
  • Phone: 952-993-3230
  • Fax: 952-993-1748

Provider Practice Location

  • Address: 3931 Louisiana Ave S
    St Louis Park, MN 55426
  • Phone: 952-993-3230
  • Fax: 952-993-1748

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 13280
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack William Bergman PA-C?
  • A: The npi number for Jack William Bergman PA-C is 1043790553.
  • Q: What are Jack William Bergman PA-C's specialties?
  • A: Jack William Bergman PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jack William Bergman PA-C?
  • A: The medical license number for Jack William Bergman PA-C is 13280 and issued in MN in USA.
  • Q: Where is Jack William Bergman PA-C practice location?
  • A: Jack William Bergman PA-C is practicing at 3931 Louisiana Ave S, St Louis Park, MN 55426.
  • Q: How to contact Jack William Bergman PA-C?
  • A: You can contact Jack William Bergman PA-C via 952-993-3230.