Individual
DR. KENNETH R BERGMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4116 BROWN MOUNTAIN LN, ELKTON, VA 22827-3409
(571) 246-7223
Mailing address
4116 BROWN MOUNTAIN LN, ELKTON, VA 22827-3409
(571) 246-7223
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101102580
VA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
0101102580
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00406443
RR MEDICARE
VA
Enumeration date
03/09/2006
Last updated
01/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us