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Contact Information

BERNIE N SERGENT, DO
1490 PARK AVE NW
SUITE 3
NORTON, VA24273-1631
 Phone: 276-679-8890
 Fax: 276-679-9740
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BERNIE N SERGENT · (Male)

NPI # 1366536237
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/03/2006
Last updated 02/23/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 02942
  • VA License # 0102202121
  • KY Medicaid 7100048180
  • VA Medicaid 1366536237
  • Other P01382768 RR MEDICARE
  • VA Other P00652501 RAILROAD MEDICARE
Hospital affiliation(s)
  • DICKENSON COMMUNITY HOSPITAL - (Critical Access)
    312 HOSPITAL DRIVE
    CLINTWOOD, VA 24228
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
  • WELLMONT LONESOME PINE HOSPITAL - (Acute Care)
    1990 HOLTON AVENUE EAST
    BIG STONE GAP, VA 24219
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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