Individual
BERNIE NORMAN SERGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1490 PARK AVE NW, SUITE 3, NORTON, VA 24273-1631
(276) 679-8890
(276) 679-9740
Mailing address
1490 PARK AVE NW, SUITE 3, NORTON, VA 24273-1631
(276) 679-8890
(276) 679-9740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102202121
VA
207R00000X
Internal Medicine Physician
02942
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366536237
—
VA
05
—
7100048180
—
KY
01
—
P00652501
RAILROAD MEDICARE
VA
01
—
P01382768
RR MEDICARE
—
Enumeration date
10/03/2006
Last updated
02/23/2017
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