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Kerry Bergman

Pediatric Surgery

99 Beauvoir Ave
Summit , New Jersey 07901-3533

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Image

Kerry Bergman

Pediatric Surgery

99 Beauvoir Ave
Summit , New Jersey 07901-3533

(973) 971-7185

Write a Review Save Call

Kerry Bergman

Pediatric Surgery

99 Beauvoir Ave
Summit , New Jersey 07901-3533

(973) 971-7185 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Surgery

Languages spoken

  • English

Location

99 Beauvoir Ave Summit , New Jersey 07901-3533

First Address

  • Kerry Bergman
  • Po Box 23831
  • Newark, NJ
  • Zip : 07189-0001
  • Phone : (973) 971-7185

Second Address

  • Kerry Bergman
  • 99 Beauvoir Ave
  • Summit, NJ
  • Zip : 07901-3533
  • Phone : (973) 971-7185

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FAQs


Where did Kerry Bergman attend graduate school?

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Where did Kerry Bergman do his residency?

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Where did Kerry Bergman do his fellowship?

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Is Kerry Bergman board certified?

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What type of doctor is Kerry Bergman

Pediatric Surgery

In what state does Kerry Bergman practice in?

New Jersey

Where is Kerry Bergman ’s practice located?

99 Beauvoir Ave , Summit, New Jersey, 07901-3533

What is Kerry Bergman ’s gender?

Male

Is Kerry Bergman a sole practitioner?

No

Is Kerry Bergman accepting new patients?

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What languages does Kerry Bergman speak?

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Does Kerry Bergman accept insurance?

Yes, Kerry Bergman accepts insurance

Does Kerry Bergman offers telemedicine?

Kerry Bergman has not indicated if he offers telemedicine

What is Kerry Bergman ’s professional license number?

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What is Kerry Bergman ’s NPI number?

1346211174

Does Kerry Bergman have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2086S0120X Pediatric Surgery 25MA05619600 NJ

National Provider Identifier

NPI 1346211174
Provider Name Kerry Bergman
First Address Newark, NJ 07189-0001
Second Address Summit, NJ 07901-3533
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 30/01/2006
Last Update Date 17/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
E84407 (02) NJ

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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