Stephen Henry Berghofer, MD | |
112 S Harrison St, Alexandria, IN 46001-2067 | |
(765) 724-7627 | |
Not Available |
Full Name | Stephen Henry Berghofer |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 112 S Harrison St, Alexandria, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124001094 | NPI | - | NPPES |
200062200 | Medicaid | IN | |
P00616368 | Other | IN | RAILROAD INDIVIDUAL |
DC3600 | Other | IN | RAILROAD GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01043612A (Indiana) | Primary |
207QS0010X | Family Medicine - Sports Medicine | 01043612A (Indiana) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Stephen Henry Berghofer, MD 10330 N Meridian St, Suite 201, Indianapolis, IN 46290-1024 Ph: () - | Stephen Henry Berghofer, MD 112 S Harrison St, Alexandria, IN 46001-2067 Ph: (765) 724-7627 |
David E Haag, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2116 S Park Ave, Alexandria, IN 46001 Phone: 765-724-4455 Fax: 765-724-3386 | |
Dr. Charles Noble, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2116 S Park Ave, Alexandria, IN 46001 Phone: 765-298-4000 |