Brent D Bergen, MD | |
3800 S National Ave Ste 510, Springfield, MO 65807-5284 | |
(417) 875-3160 | |
Not Available |
Full Name | Brent D Bergen |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 35 Years |
Location | 3800 S National Ave Ste 510, Springfield, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629070693 | NPI | - | NPPES |
204593909 | Medicaid | MO | |
1069441 | Other | KY | PASSPORT HEALTH |
000000048062 | Other | KY | ANTHEM BCBS |
290009315 | Other | RR MEDICARE | |
200096100A | Medicaid | IN | |
64319783 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 2007001545 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Select Specialty Hospital Springfield Inc | 9638250764 | 5 |
Entity Name | Select Specialty Hospital Springfield Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215116827 PECOS PAC ID: 9638250764 Enrollment ID: O20100724000047 |
Mailing Address | Practice Location Address |
---|---|
Brent D Bergen, MD Po Box 9007, Springfield, MO 65808-9007 Ph: (417) 875-3462 | Brent D Bergen, MD 3800 S National Ave Ste 510, Springfield, MO 65807-5284 Ph: (417) 875-3160 |
Dr. Mark H. Grimm, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Dr. Sridevi Durga, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295 | |
Bradley D Wiley, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Ghulam Jeelani Siddiqui, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220 | |
Danny R Penick, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000 | |
Dr. Anne Marsh Egbert, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |