Individual
DR. JAMES PATRICK BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 586-5844
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44913
MN
208000000X
Pediatrics Physician
44913
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404787
MEDICA
MN
05
—
076642900
—
MN
01
—
1032065
PREFERRED ONE
MN
01
—
142969
UCARE MN
MN
01
—
1685593
AMERICA'S PPO
MN
01
—
65G80BE
BCBS OF MN
MN
01
—
6605839
MEDICA UC
MN
01
—
HP36617
HEALTHPARTNERS
MN
Enumeration date
04/05/2006
Last updated
12/14/2023
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