Provider Demographics
NPI:1952360380
Name:DEBERGHES, PAMELA J (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:DEBERGHES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1675 GARDEN OF THE GODS RD
Mailing Address - Street 2:SUITE 1053 EPC EMPLOYEE HEALTH CENTER
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-9444
Mailing Address - Country:US
Mailing Address - Phone:719-520-7600
Mailing Address - Fax:719-520-7610
Practice Address - Street 1:5850 CHAMPIONSHIP VW STE D
Practice Address - Street 2:EL PASO COUNTY EMPLOYEE HEALTH CENTER
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-2506
Practice Address - Country:US
Practice Address - Phone:719-520-7600
Practice Address - Fax:719-520-7610
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2016-11-17
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Provider Licenses
StateLicense IDTaxonomies
CO36309207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
129535OtherBLUE CROSS BLUE SHIELD
2140388OtherCIGNA
440546366OtherUNITED HEALTHCARE
1868943OtherFIRST HEALTH
440546366OtherUNITED HEALTHCARE
2140388OtherCIGNA
440546366OtherUNITED HEALTHCARE
MO205147309Medicaid
2140388OtherCIGNA
G94586OtherMERCY
080174949OtherRR MEDICARE
MO508642709Medicaid