Individual
DR. RICHARD ANDREW VANBERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00021414
AL
2085R0202X
Diagnostic Radiology Physician
050849
GA
2085R0202X
Diagnostic Radiology Physician
10760R
LA
2085R0202X
Diagnostic Radiology Physician
Primary
MD.10760R
LA
2085R0202X
Diagnostic Radiology Physician
ME85146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10760R
MEDICAL LICENSE
LA
05
—
1486221
—
LA
Enumeration date
02/06/2006
Last updated
03/10/2024
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