Dr Brock Wr Bergman, DPT | |
790 W 66th St, Richfield, MN 55423-2203 | |
(612) 873-6963 | |
Not Available |
Full Name | Dr Brock Wr Bergman |
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Gender | Male |
Speciality | Physical Therapist |
Location | 790 W 66th St, Richfield, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477824035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8788 (Minnesota) | Primary |
Provider Name | Hennepin Healthcare System Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Mailing Address | Practice Location Address |
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Dr Brock Wr Bergman, DPT 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-3000 | Dr Brock Wr Bergman, DPT 790 W 66th St, Richfield, MN 55423-2203 Ph: (612) 873-6963 |
Jessica Butchee, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S, Richfield, MN 55423 Phone: 952-285-2840 | |
Jeanna Dwyer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6625 Lyndale Ave S Ste 430, Richfield, MN 55423 Phone: 952-285-2840 | |
Elizabeth Schorn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6605 Nicollet Ave, Richfield, MN 55423 Phone: 651-872-2700 | |
Cynthia Wittkowske, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6601 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-798-8860 Fax: 612-798-8861 | |
Sharon K Isaacson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6601 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-798-8860 Fax: 612-798-8861 | |
Shannon Koenig, PT, DPT, CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6601 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-775-5190 | |
Matthew David Schroeder, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 790 W 66th St, Richfield, MN 55423 Phone: 612-873-6963 |