Individual
DONALD R. BERGSMA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 W CEMETARY ST, SALISBURY, NC 28144
(704) 633-0345
(704) 636-4981
Mailing address
800 W CEMETARY ST, SALISBURY, NC 28144-3212
(704) 633-0345
(704) 636-4981
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9800469
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911758
—
NC
01
—
9800469
NC MEDICAL BOARD
NC
Enumeration date
07/28/2006
Last updated
06/08/2018
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