Charles P. Bergstrom
M.D. | Pediatric Critical Care Medicine | Male
Charles P. Bergstrom, M.D. is a Milwaukee, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Charles P. Bergstrom is
9000 W Wisconsin Ave, Pediatric Critical Care, Milwaukee, Wisconsin - 53226-4874. He can be contacted on phone at
414-266-3360 and fax number 414-266-3563.
Charles P. Bergstrom is a sole proprietor of his business.
NPI number (Unique professional ID) for Charles P. Bergstrom is
1225059421 which was assigned by NPPES on 22 Jul, 2006 and it was last updated on 29 Jan, 2021.
Charles P. Bergstrom license number is
65736 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Wisconsin.
Charles P. Bergstrom is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Charles P. Bergstrom basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Charles P. Bergstrom |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Charles P. Bergstrom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9000 W Wisconsin Ave, Pediatric Critical Care
Milwaukee, WI, 53226-4874
United States |
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| Phone Number : | 414-266-3360 |
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| Fax Number : | 414-266-3563 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1225059421 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Jul, 2006 |
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| Last Updated On : | 29 Jan, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles P. Bergstrom are as mentioned. Primary taxonomy code for Charles P. Bergstrom, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 248026 | NY |
| 208M00000X | Hospitalist | No | 248026 | NY |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 65736 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Charles P. Bergstrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02961219 | MEDICAID | NY | |
| 1225059421 | MEDICAID | WI | |
| 00A878510 | MEDICAID | CA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | cbergstrom1134911@direct.uwhealth.org
| No affiliation |
|
| 1675 HIGHLAND AVE,
MADISON, WI, 53792-0002
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9000 W Wisconsin Ave, Pediatric Critical Care
Milwaukee, WI, 53226-4874
United States |
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| Phone Number : | 414-266-3360 |
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| Fax Number : | 414-266-3563 |
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Business Location:
Patients can refer following map for directions to
Charles P. Bergstrom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.