Individual
DR. DEBORAH BERGFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5027 PECAN GROVE DR, SAN ANTONIO, TX 78222-3529
(210) 333-6815
(210) 892-6481
Mailing address
616 FM 1960 RD W, STE 230, HOUSTON, TX 77090-3000
(888) 749-7428
(281) 724-3100
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
P3608
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P3608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02661356
—
NY
01
—
6052232
CIGNA
TX
01
—
8DL376
BLUECROSS BLUE SHIELD
TX
01
—
9042176
AETNA
TX
Enumeration date
05/10/2006
Last updated
12/11/2013
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