Individual
DR. CHARLES A BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 NORTH PARK DR., FAYETTEVILLE, GA 30214
(770) 461-3466
(770) 461-3884
Mailing address
108 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 461-3466
(770) 461-3884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
033030
GA
207Q00000X
Family Medicine Physician
Primary
033030
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104886662
NPI
GA
01
—
52030615
BCBS OF GA
GA
Enumeration date
03/27/2006
Last updated
12/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us