National Provider Identifier Database

BRADY J BERGMAN, LPC-T – NPI #1811678790
Mental Health


Contact Information

BRADY J BERGMAN, LPC-T
7926 W 21ST ST N
WICHITA, KS67205-1742
Phone: 316-272-5502
Fax: 316-462-5640
Website:
Specialty Taxonomy Code
* Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for BRADY J BERGMAN

NPI Number 1811678790
Credentials LPC-T
Entity Individual
Enumeration date 07/25/2023
Last updated 08/24/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • KS License #: 04452
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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