Individual
DR. MICHAEL A. BERGEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7007
(757) 668-8658
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101044312
VA
207ZP0213X
Pediatric Pathology Physician
0101044312
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019185550001
—
PA
05
—
2000076000
—
WV
05
—
890511Y
—
NC
Enumeration date
05/10/2006
Last updated
09/11/2025
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