Individual
HUGH E BERCKMUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
704 THIMBLE SHOALS BLVD, #100, NEWPORT NEWS, VA 23606-4544
(757) 595-8404
(757) 595-8353
Mailing address
704 THIMBLE SHOALS BLVD, #100, NEWPORT NEWS, VA 23606-4544
(757) 595-8404
(757) 595-8353
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101056628
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00630876
—
VA
01
—
22805
OPTIMA
VA
01
—
282367
MAMSI/OPTIMUM CHOICE
VA
01
—
317213
BLUE CROSS BLUE SHIELD
VA
Enumeration date
09/20/2005
Last updated
09/16/2010
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