Individual
MR. BRETT REDMOND BERGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5253
Mailing address
249 PUNKIN RIDGE DR, CLEAR BROOK, VA 22624-1792
(540) 535-6875
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO03935
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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