Brian G Bergmann, DDS is a
Dentist - General Practice based in Okauchee, Wisconsin. Brian G Bergmann is licensed to practice in Wisconsin (license number 2456-015) and his current practice location is
N50w34770 Wisconsin Ave, Okauchee, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 567-0770.
NPI number for Brian G Bergmann is 1053494781 and his current mailing address is N50w34770 Wisconsin Ave, Okauchee, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053494781.
Healthcare Provider's Profile
| Full Name | Brian G Bergmann |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | N50w34770 Wisconsin Ave, Okauchee, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053494781
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Brian G Bergmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053494781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 2456-015 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian G Bergmann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brian G Bergmann, DDS N50w34770 Wisconsin Ave, Okauchee, WI 53069-9750 Ph: (262) 567-0770 | Brian G Bergmann, DDS N50w34770 Wisconsin Ave, Okauchee, WI 53069-9750 Ph: (262) 567-0770 |
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