Individual
MR. PAUL ALLEN BERGFELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1915 CHESTER BLVD, RICHMOND, IN 47374-1212
(765) 935-2567
(765) 962-0880
Mailing address
1915 CHESTER BLVD, RICHMOND, IN 47374-1212
(765) 935-2567
(765) 962-0880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01030885A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256490C
—
IN
Enumeration date
07/31/2006
Last updated
11/07/2012
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