Individual
MICHAEL P BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WEST CENTRAL AVE, ARLINGTON HEIGHTS, IL 60005
(847) 618-4177
(434) 924-9720
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263595
NY
207RP1001X
Pulmonary Disease Physician
Primary
0101260292
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255608857
—
VA
Enumeration date
11/27/2011
Last updated
05/25/2021
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