Individual
GARY BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 GOODLETTE RD N, SUITE 370, NAPLES, FL 34102-5400
(239) 624-0800
(239) 643-9062
Mailing address
800 GOODLETTE RD N, SUITE 370, NAPLES, FL 34102-5400
(239) 624-0800
(239) 643-9062
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME58044
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23564
BCBS
FL
01
—
23564V
MEDICARE
FL
05
—
273217300
—
FL
Enumeration date
09/20/2006
Last updated
07/21/2022
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