Dr. Robert T Bergman
Orthodontists
400 Mobil Ave Ste C1
Camarillo
, California 93010-6377
Dr. Robert T Bergman
Orthodontists
400 Mobil Ave Ste C1
Camarillo
, California 93010-6377
(805) 482-5196
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Robert T Bergman
- 400 Mobil Ave Ste C1
- Camarillo, CA
- Zip : 93010-6377
- Fax : (805) 482-5196
- Phone : (805) 482-7284
Second Address
- Dr. Robert T Bergman
- 400 Mobil Ave Ste C1
- Camarillo, CA
- Zip : 93010-6377
- Fax : (805) 482-5196
- Phone : (805) 482-7284
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | D21237 | CA |
National Provider Identifier
| NPI | 1043407422 |
|---|---|
| Provider Name | Dr. Robert T Bergman |
| First Address | Camarillo, CA 93010-6377 |
| Second Address | Camarillo, CA 93010-6377 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2007 |
| Last Update Date | 25/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B21237-01 | DENTI-CAL (01) | 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.