Individual
DR. CHARLES KENNETH BERGDOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(850) 542-2933
Mailing address
220 HOVEY RD, PENSACOLA, FL 32508-1044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8288488
AL
2083A0100X
Aerospace Medicine Physician
Primary
O-1734
ID
Other
Enumeration date
06/08/2021
Last updated
06/25/2025
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