Mr. James T Bergen, PA-C
Physician Assistant, Medical in Camden, New Jersey
1104914712- Practice location
- 3 Cooper Plz, Suite 311, Camden, NJ 08103-1438
- Phone
- 856-342-2034
- Fax
- 856-342-6608
- Last updated
- September 24, 2010
James T Bergen is a Physician Assistant, Medical based in Camden, NJ. James T Bergen practices in Camden, NJ and has the professional credentials of PA-C. The NPI Number for James T Bergen is 1104914712 and holds a License No. MP00106 (NJ). The current practice location address for James T Bergen is 3 Cooper Plz, Suite 311, Camden, NJ 08103-1438 and can be reached out via phone at 856-342-2034 and via fax at 856-342-6608.
Provider Profile Details
- NPI Number
- 1104914712
- Provider Name
- James T Bergen
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3 Cooper Plz, Suite 311, Camden, NJ 08103-1438
- Phone Number
- 856-342-2034
- Fax Number
- 856-342-6608
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 10, 2006
- Last Update Date
- September 24, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Cooper Plz
Suite 311
Camden, NJ 08103-1438 - City
- Camden
- State
- New Jersey
- Zip
- 08103-1438
- Phone Number
- 856-342-2034
- Fax Number
- 856-342-6608
Provider Business Mailing Address Details
- Address
- 1 Cooper Plz
3 Dorrance
Camden, NJ 08103-1461 - City
- Camden
- State
- NJ
- Zip
- 08103-1461
- Phone Number
- 856-342-2034
- Fax Number
- 856-342-6608
License Information
- License Number
- MP00106
- License State
- NJ
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. James T Bergen, PA-C?
The NPI number of Mr. James T Bergen, PA-C is 1104914712. It was assigned on October 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. James T Bergen, PA-C?
Mr. James T Bergen, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number MP00106.
Where does Mr. James T Bergen, PA-C practice?
The practice location is 3 Cooper Plz, Suite 311, Camden, NJ 08103-1438. The office can be reached at 856-342-2034 (phone) or 856-342-6608 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104914712 directly on the NPPES registry website.