Individual
MR. BRANDON JAMES BERGSCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A. - C
Contact information
Practice address
2040 FLEISCHMANN RD, TALLAHASSEE, FL 32308-4599
(850) 422-3376
(850) 205-7182
Mailing address
2040 FLEISCHMANN RD, TALLAHASSEE, FL 32308-4599
(850) 422-3376
(850) 205-7182
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9107459
FL
363AM0700X
Medical Physician Assistant
Primary
PA9107459
FL
363AS0400X
Surgical Physician Assistant
PA9107459
FL
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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