Provider Demographics
NPI:1912455106
Name:BERGMAN, ELDO WILLIAM JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ELDO
Middle Name:WILLIAM
Last Name:BERGMAN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3130 ROGERDALE RD STE 180
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-6069
Mailing Address - Country:US
Mailing Address - Phone:713-784-7373
Mailing Address - Fax:713-784-7279
Practice Address - Street 1:3130 ROGERDALE RD STE 180
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-6069
Practice Address - Country:US
Practice Address - Phone:713-784-7373
Practice Address - Fax:713-784-7279
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF25532084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology