Individual
DANIEL JOSEPH BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 JUNGERMANN CIRCLE, STE 205, ST PETERS, MO 63376
(636) 441-2122
(636) 441-5290
Mailing address
6 JUNGERMANN CIRCLE, STE 205, ST PETERS, MO 63376
(636) 441-2122
(636) 441-5290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36151
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017022
EXLCUSIVE CHOICE
—
01
—
088442
GREAT WEST
—
01
—
100010
HEALTHLINK
—
01
—
1016224
CARE PARTNERS
—
01
—
11637
ESSENCE
—
05
—
201292216BE
—
MO
01
—
25582
BLUE CROSS BLUE SHIELD
—
01
—
3086713001SP11526
SIGNA
—
01
—
3554V2907
GHP
—
01
—
4061300
AETNA
—
01
—
430910980005
PRUDENTIAL
—
01
—
G038
PRINCIPAL
—
01
—
STL1700065
UNITED HEALTHCARE
—
Enumeration date
03/14/2006
Last updated
01/06/2022
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