# SIGURD BERVEN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235949132
- **Authorized official:** DR. SIGURD BERVEN MD (AUTHORIZED OFFICIAL/OWNER)
- **Authorized official phone:** (408) 577-1489

## Contact information

- **Practice address:** 2400 SAMARITAN DR STE 100, SAN JOSE, CA 95124-3910
- **Practice address phone:** (408) 583-4697
- **Practice address fax:** (408) 577-1489
- **Mailing address:** 2400 SAMARITAN DR STE 100, SAN JOSE, CA 95124-3910
- **Mailing address phone:** (408) 583-4697
- **Mailing address fax:** (408) 577-1489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 01/13/2025