Individual
MATTHEW DOUGLAS BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
543 EDGAR AVE STE C, RONCEVERTE, WV 24970-1564
(646) 923-1218
Mailing address
543 EDGAR AVE STE C, RONCEVERTE, WV 24970-1564
(646) 923-1218
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
96234
WV
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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