Individual
SUZANNE M BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
04117
AL
207RN0300X
Nephrology Physician
4117
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00006170
HEALTHSPRING
AL
01
—
000084085
BLUE CROSS
AL
05
—
000084085
—
AL
05
—
04405790
—
MS
05
—
4402466
—
TN
01
—
700008332
RAILROAD MEDICARE
AL
01
—
D04143
VIVA
AL
Enumeration date
05/24/2006
Last updated
06/30/2023
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