Nancy Ann Bergman, DPH
Individual provider Active NPI Pharmacist · Norman, OK
NPI 1639770217 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1639770217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9834 (OK)
- Practice address
- 333 N Interstate Dr
Norman, OK 73069-6326 - Phone
- (405) 329-5761
- Fax
- (405) 329-5774
- NPI assigned
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9834 | OK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9834 | OK | Yes |
Addresses
Primary practice location
333 N Interstate Dr
Norman, OK 73069-6326
Mailing address
412 Terrace PL
Norman, OK 73069-5065
Phone (405) 412-0571
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. 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.