Whalio Doctors

NPI 1609021104

Stephen Russell Bergman, DO

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Harrogate, TN

Practice location

Address
6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245
Phone
(423) 869-6249
Mailing address
146 Brittain Dr, Harrogate, TN 37752-7018

Registered specialties (4)

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence E-12201 (AR)
Neuromusculoskeletal Medicine & OMM Physician
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 2007018743 (MO)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence E-12201 (AR)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 2007018743 (MO)

Registry record

NPI
1609021104
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Nov 2008
Record last updated
20 Mar 2023

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.