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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 Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for BRADY J BERGMAN · (Male)

NPI # 1811678790
Status Active
Credentials LPC-T
Entity Individual
Enumeration date 07/25/2023
Last updated 08/24/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 04452
Hospital affiliation(s) Not Available
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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