Individual
DR. BERTA M BERGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9352 PARK WEST BLVD, KNOXVILLE, TN 37923-4325
(865) 373-1974
(865) 373-1059
Mailing address
DEPT 888217, KNOXVILLE, TN 37995-8217
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
17849
TN
282N00000X
General Acute Care Hospital
17849
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3026559
3026559
TN
05
—
3026559
—
TN
Enumeration date
03/10/2006
Last updated
04/01/2013
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