Search › Oklahoma › 101YM0800X
Tanner Bergman, M.S
NPI 1710270475 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1442 Nw 46th St
Oklahoma City, OK 73118 - Phone
- (405) 410-8162
- Organisation at this address
- The Spero Project
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 2617 General Pershing Blvd, Oklahoma City, OK
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YP2500X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-13
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 Oklahoma