Kevin Patrick Bergman, DPT | |
1019 S Main St, Manteca, CA 95337-5703 | |
(209) 624-1002 | |
(209) 222-6182 |
Full Name | Kevin Patrick Bergman |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 1019 S Main St, Manteca, California |
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 |
---|---|---|---|
1184009771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 295892 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Golden Bear Physical Therapy Sports Injury Center Inc | 2961423082 | 63 |
Provider Name | Golden Bear Physical Therapy Sports Injury Center Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1811084676 PECOS PAC ID: 2961423082 Enrollment ID: O20051215000812 |
Mailing Address | Practice Location Address |
---|---|
Kevin Patrick Bergman, DPT 1019 S Main St, Manteca, CA 95337-5703 Ph: (209) 624-1002 | Kevin Patrick Bergman, DPT 1019 S Main St, Manteca, CA 95337-5703 Ph: (209) 624-1002 |
Victoria Fara Leah Diaz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2531 Edgebrook Ln, Manteca, CA 95336 Phone: 646-270-1537 | |
April Diamond Witherspoon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 965 E Yosemite Ave, Manteca, CA 95336 Phone: 843-356-2790 | |
Mr. Mark Dejong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1041 N Main St Ste A, Manteca, CA 95336 Phone: 209-824-9888 Fax: 209-824-9469 | |
Roger Cabo Inciong, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3652 Rapallo Way, Manteca, CA 95337 Phone: 408-656-9834 | |
Kaitlin White, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1519 W Yosemite Ave, Manteca, CA 95337 Phone: 239-784-9354 | |
Mr. Bonhoeffer Estrella, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Eastwood Ave, Manteca, CA 95336 Phone: 209-239-1222 |