Provider Demographics
NPI:1629673231
Name:BERGMAN, BERNARD JOSEPH III (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:JOSEPH
Last Name:BERGMAN
Suffix:III
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-6938
Mailing Address - Country:US
Mailing Address - Phone:727-848-3442
Mailing Address - Fax:727-843-8092
Practice Address - Street 1:7120 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6938
Practice Address - Country:US
Practice Address - Phone:727-848-3442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS49025183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist