NPI 1033501531

Brian Scott Bergstrom, DOMA

Practitioner Surgery Physician Claremore, OK

Practice location

Address: 101 S Moore Ave, Claremore, OK 74017-5047
Phone: (918) 342-6200
Mailing address: 13006 E 112th St N, Owasso, OK 74055-6220

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 5942 (OK)

Other Surgery providers in Oklahoma →

Registry record

NPI: 1033501531
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2015
Record last updated: 30 Jul 2020

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.