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Dr. Kenneth R Bergman JR., MD
Otolaryngology Physician in Centreville, Virginia
NPI 1659349447

Kenneth R Bergman JR. is a Otolaryngology Physician based in Centreville, VA. Kenneth R Bergman JR. practices in Centreville, VA and has the professional credentials of MD. The NPI Number for Kenneth R Bergman JR. is 1659349447 and holds a License No. 0101102580 (Virginia).

The current practice location address for Kenneth R Bergman JR. is 14631 Lee Hwy, Centreville, VA and can be reached out via phone at 703-385-8222 and via fax at 703-832-8809.

Location: 14631 Lee Hwy, Centreville, VA, 20121-5824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659349447
Provider Name
Kenneth R Bergman JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14631 Lee Hwy, Centreville, VA, 20121-5824
Phone Number
703-385-8222
Fax Number
703-832-8809
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00406443 01 VA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
14631 Lee Hwy
City
Centreville
State
Virginia
Zip
20121-5824
Phone Number
703-385-8222
Fax Number
703-832-8809
person
Provider Business Mailing Address Details
Address
14631 Lee Hwy
City
Centreville
State
Virginia
Zip
20121-5824
Phone Number
703-385-8222
Fax Number
703-832-8809
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
0101102580 (Virginia)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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