Individual
DR. ROGER P BERMINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1025 PENNOCK PL, FORT COLLINS, CO 80524-3257
(970) 495-8800
(970) 495-8820
Mailing address
1025 PENNOCK PL, FORT COLLINS, CO 80524-3257
(970) 495-8800
(970) 495-8820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0022982
CO
207QG0300X
Geriatric Medicine (Family Medicine) Physician
22982
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01229822
—
CO
01
—
P01135769
RAILROAD MEDICARE
CO
Enumeration date
11/05/2005
Last updated
06/12/2014
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