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Individual

BRIAN BERGFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7419 WATSON RD, SAINT LOUIS, MO 63119-4415
(314) 400-3360
(314) 400-3361
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 400-3360
(314) 400-3361

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2004015369
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209303502
MO
Enumeration date
09/06/2005
Last updated
06/29/2018
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