NPI 1639463185 · live from the CMS NPI Registry
Stuart Bergman-Bock, M.D.
Psychiatry & Neurology, Neurology in Burnsville, MN. National Provider Identifier 1639463185, active.
NPI record
| NPI | 1639463185 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337 |
| Practice phone | 952-435-8516 |
| Mailing address | 4225 Golden Valley Rd, Golden Valley, MN 55422 |
| Enumerated | June 1, 2011 |
| Last updated | May 17, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 66213 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.