Provider Demographics
NPI:1235123761
Name:BERGIN, FRANCIS THOMAS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:THOMAS
Last Name:BERGIN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5550 FRIENDSHIP BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7256
Mailing Address - Country:US
Mailing Address - Phone:301-986-9390
Mailing Address - Fax:301-986-5258
Practice Address - Street 1:5550 FRIENDSHIP BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7256
Practice Address - Country:US
Practice Address - Phone:301-986-9390
Practice Address - Fax:301-986-5258
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2008-12-04
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Provider Licenses
StateLicense IDTaxonomies
DCMD14627207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD429418Medicare ID - Type Unspecified
MDC46563Medicare UPIN