Individual
CARL JOHAN CHRISTIAN BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2116 W LABURNUM AVE, RICHMOND, VA 23227
(804) 254-3500
(804) 254-1616
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101260033
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101260033
VA
Other
Enumeration date
03/28/2014
Last updated
08/29/2018
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