Individual
MRS. MARTHA B BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
309 NEW ST, GREENSBORO, NC 27405-3654
(336) 379-9708
(336) 379-8714
Mailing address
309 NEW ST, GREENSBORO, NC 27405-3654
(336) 379-9708
(336) 379-8714
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101823
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561274347
CKA'S TAX ID #
NC
05
—
8101862
—
NC
Enumeration date
06/14/2006
Last updated
04/29/2026
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