August Henry Bergman, M.D.
Individual provider Active NPI Internal Medicine Physician · Prescott, AZ
NPI 1184732604 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184732604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 11476 (NE)
- Practice address
- Northern Arizona VA HCS
500 N. Hwy 89
Prescott, AZ 86313 - Phone
- (928) 445-4860
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11476 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Vamc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11476 | NE | Yes |
Addresses
Primary practice location
Northern Arizona VA HCS
500 N. Hwy 89
Prescott, AZ 86313
Mailing address
500 N. Hwy 89
Prescott, AZ 86313
Phone (928) 445-4860
Other providers in Prescott, AZ
- Jason K Bennion
- Anne M Benson
- Bradley Vernon Benson
- Brian David Benson
- Eric Bequary
- Douglas Alan Bergstrom
- Michael Berlowe
- Melanie Corinne Bernal
- Brian Zachary Bernier
- Andrea Bernkrant
All providers in Prescott, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.