Dr. Lawrence Russell Bergman
M.D. | Pediatric Adolescent Medicine | Male
Dr. Lawrence Russell Bergman, M.D. is a Wellington, Florida based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Lawrence Russell Bergman is
10115 W Forest Hill Blvd, Ste 303, Wellington, Florida - 33414-3102. He can be contacted on phone at
561-798-5565 and fax number 561-798-9756.
Dr. Lawrence Russell Bergman is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Lawrence Russell Bergman is
1073518130 which was assigned by NPPES on 16 Jun, 2005 and it was last updated on 21 Sep, 2011.
Dr. Lawrence Russell Bergman license number is
ME56164 for Pediatrics Adolescent Medicine (2080A0000X) in Florida.
Dr. Lawrence Russell Bergman specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Lawrence Russell Bergman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Lawrence Russell Bergman |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Lawrence Russell Bergman 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 : | 10115 W Forest Hill Blvd, Ste 303
Wellington, FL, 33414-3102
United States |
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| Phone Number : | 561-798-5565 |
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| Fax Number : | 561-798-9756 |
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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 : | 1073518130 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Jun, 2005 |
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| Last Updated On : | 21 Sep, 2011 |
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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 Dr. Lawrence Russell Bergman are as mentioned. Primary taxonomy code for Dr. Lawrence Russell Bergman, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | ME56164 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Lawrence Russell Bergman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 003224800 | MEDICAID | FL | |
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 : | 10115 W Forest Hill Blvd, Ste 303
Wellington, FL, 33414-3102
United States |
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| Phone Number : | 561-798-5565 |
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| Fax Number : | 561-798-9756 |
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Business Location:
Patients can refer following map for directions to
Dr. Lawrence Russell Bergman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.