Organization
PAUL A BERGFELDER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ALLEN BERGFELDER M.D. (OWNER)
(765) 935-2567
Entity
Organization
Contact information
Practice address
1915 CHESTER BLVD, RICHMOND, IN 47374-1281
(765) 935-2567
(765) 962-0880
Mailing address
1915 CHESTER BLVD, RICHMOND, IN 47374-1281
(765) 935-2567
(765) 962-0880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062146
—
OH
05
—
201063810A
—
IN
Enumeration date
02/29/2008
Last updated
11/07/2012
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