NPI 1073148235
James Douglas Bergum, CCP
Practice location
- Address
- 1555 Soquel Dr, Santa Cruz, CA 95065-1794
- Phone
- (855) 489-4580
- Mailing address
- 144 Holm Rd Spc 31, Watsonville, CA 95076-2427
Registered specialties
Perfusionist
Primary
Registry record
- NPI
- 1073148235
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Mar 2020
- Record last updated
- 9 Mar 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.