| Karin K. Bergman, M.d., P.a. | |
|
5150 Warren Pkwy Ste 705b Frisco TX 75034-7463 | |
| (214) 494-6200 | |
| (214) 494-6075 |
| Full Name | Karin K. Bergman, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 5150 Warren Pkwy Ste 705b, Frisco, Texas |
| Authorized Official Name and Position | Karin Kay Bergman (OWNER) |
| Authorized Official Contact | 2144946200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karin K. Bergman, M.d., P.a. 5150 Warren Pkwy Ste 705b Frisco TX 75034-7463 Ph: (214) 494-6200 | Karin K. Bergman, M.d., P.a. 5150 Warren Pkwy Ste 705b Frisco TX 75034-7463 Ph: (214) 494-6200 |
| NPI Number | 1942498274 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 03/20/2018 |
| Medicare PECOS PAC ID | 8921266701 |
|---|---|
| Medicare Enrollment ID | O20120224000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942498274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L3582 (Texas) | Primary |
| Provider Name | Karin K Bergman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386646594 PECOS PAC ID: 5799943577 Enrollment ID: I20120307000933 |
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