Jack M. Bergstein MD LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JACK M. BERGSTEIN MD LLC

Practice address

1150 7TH St
Waynesburg, PA 15370-1660

Phone

(724) 627-2760

Fax

(724) 627-2692

NPI assigned

Jan 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jack M Bergstein, MD

Title

Owner

Phone

(724) 627-2860

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1457406233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 7TH ST",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701660",
            "telephone_number": "724-627-2760",
            "fax_number": "724-627-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 7TH ST",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701660",
            "telephone_number": "724-627-2760",
            "fax_number": "724-627-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK M. BERGSTEIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "BERGSTEIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-627-2860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Waynesburg, PA
• Providers in Waynesburg, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.