Charles P. Bergstrom
Pediatrician Pediatric Critical Care Doctor
9000 W Wisconsin Ave Pediatric Critical Care
Milwaukee
, Wisconsin 53226-4874
Charles P. Bergstrom
Pediatrician Pediatric Critical Care Doctor
9000 W Wisconsin Ave Pediatric Critical Care
Milwaukee
, Wisconsin 53226-4874
(414) 266-3563
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About
Features
Specialties
- Pediatrician
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Charles P. Bergstrom
- 9000 W Wisconsin Ave Pediatric Critical Care
- Milwaukee, WI
- Zip : 53226-4874
- Fax : (414) 266-3563
- Phone : (414) 266-3360
Second Address
- Charles P. Bergstrom
- 9000 W Wisconsin Ave Pediatric Critical Care
- Milwaukee, WI
- Zip : 53226-4874
- Fax : (414) 266-3563
- Phone : (414) 266-3360
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 248026 | NY |
| Y | 2080P0203X | Pediatric Critical Care Doctor | 65736 | WI |
National Provider Identifier
| NPI | 1225059421 |
|---|---|
| Provider Name | Charles P. Bergstrom |
| First Address | Milwaukee, WI 53226-4874 |
| Second Address | Milwaukee, WI 53226-4874 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2006 |
| Last Update Date | 29/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A878510 | (05) | CA |
| 02961219 | (05) | NY |
| 1225059421 | (05) | WI |
| I39449 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.