Individual
JAMES A BERGANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7611 STATE LINE RD, STE240, KANSAS CITY, MO 64114-6801
(816) 363-1155
(816) 363-1149
Mailing address
7611 STATE LINE RD, STE240, KANSAS CITY, MO 64114-6801
(816) 363-1155
(816) 363-1149
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0414406
KS
208800000X
Urology Physician
105379
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100139280B
—
KS
01
—
18853091
BCBS
—
01
—
340016718
RAILROAD MEDICARE
—
Enumeration date
05/10/2006
Last updated
10/24/2011
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