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Individual

MARK D BERGSTEN

Active
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Individual

MARK D BERGSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102202299
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-017
TRICARE/CHAMPUS
VA
01
10038954
SENTARA/OPTIMA PHYSICAL MEDICINE
VA
01
10038956
SENTARA/OPTIMA DAY REHAB
VA
01
10279
BC/BS
NC
05
1962663054
VA
01
2190396
UHC/MAMSI
VA
01
360653
ANTHEM
VA
05
5910279
NC
01
8786189
CIGNA
VA
01
9111220
AETNA
VA
01
PAR
USA MANAGED CARE
VA
Enumeration date
06/20/2008
Last updated
11/19/2025
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