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Contact Information

ROGER P BERMINGHAM, MD
1025 PENNOCK PL
FORT COLLINS, CO80524-3257
 Phone: 970-495-8800
 Fax: 970-495-8820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROGER P BERMINGHAM · (Male)

NPI # 1053392282
Status Active
Credentials MD
Entity Individual
Enumeration date 11/05/2005
Last updated 06/12/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 22982
  • CO License # DR.0022982
  • CO Medicaid 01229822
  • CO Other P01135769 RAILROAD MEDICARE
Hospital affiliation(s)
  • POUDRE VALLEY HOSPITAL - (Acute Care)
    1024 S LEMAY AVE
    FORT COLLINS, CO 80524
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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