| Stephen Henry Berghofer, MD | |
|
112 S Harrison St, Alexandria, IN 46001-2067 | |
| (765) 724-7627 | |
| Not Available |
| Full Name | Stephen Henry Berghofer |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 112 S Harrison St, Alexandria, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124001094 | NPI | - | NPPES |
| 200062200 | Medicaid | IN | |
| P00616368 | Other | IN | RAILROAD INDIVIDUAL |
| DC3600 | Other | IN | RAILROAD GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01043612A (Indiana) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | 01043612A (Indiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Henry Berghofer, MD 10330 N Meridian St, Suite 201, Indianapolis, IN 46290-1024 Ph: () - | Stephen Henry Berghofer, MD 112 S Harrison St, Alexandria, IN 46001-2067 Ph: (765) 724-7627 |
David E Haag, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2116 S Park Ave, Alexandria, IN 46001 Phone: 765-724-4455 Fax: 765-724-3386 | |
Dr. Charles Noble, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2116 S Park Ave, Alexandria, IN 46001 Phone: 765-298-4000 |