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Contact Information

JON F BERGSTROM, MD
3535 S I-35 EAST
DENTON, TX76205
 Phone: 940-387-6159
 Fax: 940-382-3875
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JON F BERGSTROM · (Male)

NPI Number 1164474847
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 05/19/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • TX License # E1502
  • TX Medicaid 136915904
Hospital affiliation(s) Not Available
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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