NPI 1023383700

Jerry Michael Bergstein, MD

Practitioner Specialist Indianapolis, IN

Practice location

Address: 8905 Sourwood CT, Indianapolis, IN 46260-1544
Phone: (317) 872-4459
Fax: (317) 872-4459

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 01027479A (IN)

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Registry record

NPI: 1023383700
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2012
Record last updated: 14 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.