Individual
DR. STUART M BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 N 6TH ST, PHOENIX, AZ 85004-2155
(602) 406-8222
(602) 406-7811
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
74839
AZ
208800000X
Urology Physician
M-15122
ID
208800000X
Urology Physician
MD465614
PA
208800000X
Urology Physician
ME100410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000256000
—
FL
05
—
103625804
—
PA
01
—
10381145
CAQH
—
01
—
10H686
HEALTHY KIDS
FL
01
—
1192907
WELLCARE
FL
01
—
2292290 A
PIEDMONT STONE CENTER PHY
NC
01
—
325061
AVMED
FL
01
—
47450
BCBS OF FL
FL
01
—
5248030
AETNA
FL
05
—
7595816
—
VA
01
—
8533707
CIGNA
FL
01
—
P01195011
RAILROAD MCR
FL
01
—
P110118
FREEDOM HEALTH
FL
Enumeration date
01/22/2007
Last updated
10/03/2024
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