Individual
IDA M BERGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5425 WISCONSIN AVE STE 810, CHEVY CHASE, MD 20815-3552
(202) 266-7070
(202) 266-7073
Mailing address
5425 WISCONSIN AVE STE 810, CHEVY CHASE, MD 20815-3552
(202) 266-7070
(202) 266-7073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0071811
MD
207R00000X
Internal Medicine Physician
MD30754
DC
Other
Enumeration date
02/25/2008
Last updated
12/17/2025
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