Douglas A Bergstrom (NPI# 1063536688, PAC ID# 9931134327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1063536688 |
| PAC ID by PECOS | 9931134327 |
| Professional Enrollment ID | I20051005000081 |
| Full Name | Douglas A Bergstrom |
| Address |
143 E Merritt Ave Prescott AZ 86301-2028 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1983 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 143 E Merritt Ave, Prescott, AZ 86301-2028 |
| Street Address |
143 E MERRITT AVE |
| City | PRESCOTT |
| State | AZ |
| Zip | 86301-2028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rory B Madden | Psychologist, Clinical | 143 E Merritt Ave, Prescott, AZ 86301-2028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Stahl | Optometry | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| Rachel C Wells | Optometry | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| John R Markham | Optometry | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| Byron R Tabbut | Ophthalmology | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| Lee Berman | Optometry | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| James Brayshaw Arthur | Ophthalmology | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| Brett James Christensen | Optometry | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| Amy H Champ | Optometry | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| Craig Kuntz | Optometry | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| Steven Worthen Mortenson | Ophthalmology | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| Find all physicians in zip 86301 | |||
| City | PRESCOTT |
| Zip Code | 86301 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PRESCOTT + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Douglas A Bergstrom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.