NPI 1053486480 · live from the CMS NPI Registry
Paul W Bergamini, DC
Chiropractor in Cody, WY. National Provider Identifier 1053486480, active.
NPI record
| NPI | 1053486480 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1543 Bleistein Avenue, Cody, WY 82414 |
| Practice phone | 307-587-4600 |
| Mailing address | Po Box 1403, Cody, WY 82414 |
| Enumerated | November 21, 2006 |
| Last updated | June 18, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 614 (WY) |
| Chiropractor | 111N00000X | 1220 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.