Individual
DR. PETER CARL BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
49960
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022741
KAISER COMMERCIAL NUMBER
CO
05
—
41524870
—
CO
Enumeration date
03/27/2008
Last updated
06/15/2021
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