Search › Rhode Island › 171100000X
Jason Bergman, DAC
NPI 1427215631 · on the registry since 2008 · sole proprietor
Practice
- Address
- 172 Broadway
Providence, RI 02903 - Phone
- (401) 523-3253
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island