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Contact Information

JAMES P BERGSTROM, MD
6341 UNIVERSITY AVE NE
FRIDLEY, MN55432-4946
 Phone: 763-586-5844
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JAMES P BERGSTROM · (Male)

NPI Number 1588626386
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2006
Last updated 12/14/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 44913
  • MN Medicaid 076642900
  • MN Other 1685593 AMERICA'S PPO
  • MN Other 65G80BE BCBS OF MN
  • MN Other HP36617 HEALTHPARTNERS
  • MN Other 0404787 MEDICA
  • MN Other 6605839 MEDICA UC
  • MN Other 1032065 PREFERRED ONE
  • MN Other 142969 UCARE MN
Hospital affiliation(s)
  • FAIRVIEW LAKES MEDICAL CENTER - (Acute Care)
    5200 FAIRVIEW BOULEVARD
    WYOMING, MN 55092
  • UNIVERSITY OF MINNESOTA MEDICAL CENTER FAIRVIEW - (Acute Care)
    2450 RIVERSIDE AVENUE
    MINNEAPOLIS, MN 55454
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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