Active NPIIndividual provider

Dr. Kim A Bergner, MD

Pediatrics in South Weymouth, Massachusetts

NPI Number1417930942
Practice location
55 Fogg RD, South Weymouth, MA 02190-2455
Fax
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Last updated
July 12, 2021

Kim A Bergner is a Pediatrics based in South Weymouth, MA. Kim A Bergner practices in South Weymouth, MA and has the professional credentials of MD. The NPI Number for Kim A Bergner is 1417930942 and holds a License No. 154589 (MA). The current practice location address for Kim A Bergner is 55 Fogg RD, South Weymouth, MA 02190-2455 and can be reached out via phone at 781-624-8338.

Provider Profile Details

NPI Number
1417930942
Provider Name
Kim A Bergner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Fogg RD, South Weymouth, MA 02190-2455
Phone Number
781-624-8338
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
November 29, 2005
Last Update Date
July 12, 2021
Certification Date
July 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fogg RD
South Weymouth, MA 02190-2455
Zip
02190-2455
Phone Number
781-624-8338
South Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
300 Longwood Ave
Boston, MA 02115-5724
City
Boston
State
MA
Zip
02115-5724
Phone Number
617-355-6000

License Information

License Number
154589
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Kim A Bergner, MD?

The NPI number of Dr. Kim A Bergner, MD is 1417930942. It was assigned on November 29, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Kim A Bergner, MD?

Dr. Kim A Bergner, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 154589.

Where does Dr. Kim A Bergner, MD practice?

The practice location is 55 Fogg RD, South Weymouth, MA 02190-2455. The office can be reached at 781-624-8338 (phone).

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 1417930942 directly on the NPPES registry website.

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