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Contact Information

BERTA M BERGIA, MD
9352 PARK WEST BLVD
KNOXVILLE, TN37923-4325
 Phone: 865-373-1974
 Fax: 865-373-1059
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for BERTA M BERGIA · (Female)

NPI # 1275501728
Status Active
Credentials MD
Entity Individual
Enumeration date 03/10/2006
Last updated 04/01/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 17849
  • TN Medicaid 3026559
  • TN Other 3026559 3026559
Hospital affiliation(s)
  • PARKWEST MEDICAL CENTER - (Acute Care)
    9352 PARK WEST BLVD
    KNOXVILLE, TN 37923
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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