National Provider Identifier Database

KELLY R BERGMANN, DO – NPI #1790002129
Pediatric Emergency Medicine

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.


Contact Information

KELLY R BERGMANN, DO
2525 CHICAGO AVE
MINNEAPOLIS, MN55404-4518
Phone: 952-334-5309
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Emergency Medicine 207PP0204X

* Indicates primary specialty

NPI Profile & details for KELLY R BERGMANN

NPI Number 1790002129
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/25/2010
Last updated 02/15/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: 54669
Hospital affiliation n/a

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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