| Doctor Name: | WILLIAM BERGMAN |
| NPI Number: | 1083899843 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 42729 |
| Business Practice Address: | 1880 Denver West Court #823 Golden, CO - 80401 |
| Business Phone Number: | 3038197072 |
| Business Fax Number: | |
| Mailing Address: | Po Box 150694, LAKEWOOD |
| State: | CO |
| Postal Code: | 802150694 |
| Phone Number: | 3033741393 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2007 |
| NPI Last Update Date: | 01/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 42729 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |