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Dr. Stephen Russell Bergman, DO
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Harrogate, Tennessee
NPI 1609021104

Stephen Russell Bergman is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Harrogate, TN. Stephen Russell Bergman practices in Harrogate, TN and has the professional credentials of DO. The NPI Number for Stephen Russell Bergman is 1609021104 and holds a License No. 2007018743 (Tennessee).

The current practice location address for Stephen Russell Bergman is 6965 Cumberland Gap Pkwy, Harrogate, TN and can be reached out via phone at 423-869-6249.

Location: 6965 Cumberland Gap Pkwy, Harrogate, TN, 37752-7018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609021104
Provider Name
Stephen Russell Bergman
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6965 Cumberland Gap Pkwy, Harrogate, TN, 37752-7018
Phone Number
423-869-6249
Fax Number
Provider Enumeration Date
11/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
108400081 01 MO PTAN
1609021104 05 MO
institution
Provider Business Practice Location Address Details
Address
6965 Cumberland Gap Pkwy
City
Harrogate
State
Tennessee
Zip
37752-8245
Phone Number
423-869-6249
Fax Number
person
Provider Business Mailing Address Details
Address
6965 Cumberland Gap Pkwy
City
Harrogate
State
Tennessee
Zip
37752-8245
Phone Number
423-869-6249
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
204C00000X
License No.
2007018743 (Missouri)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine & OMM
Speciality
-
Taxonomy
204D00000X
License No.
E-12201 (Arkansas)
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
2007018743 (Missouri)
Definition
Definition to come...
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