Individual
MARK D BERGSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(201) 654-6397
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(201) 654-6397
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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