Provider Demographics
NPI:1427284439
Name:BERGIN, WILLIAM A (DO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:BERGIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:16 ROSE STREET
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-4327
Mailing Address - Country:US
Mailing Address - Phone:814-539-0257
Mailing Address - Fax:814-536-0963
Practice Address - Street 1:16 ROSE STREET
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-4327
Practice Address - Country:US
Practice Address - Phone:814-539-0257
Practice Address - Fax:814-536-0963
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS0153052081H0002X, 2081N0008X, 2081P0004X, 2081P0010X, 2081P0301X, 2081S0010X, 208D00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative Medicine
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine
No2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
No2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
No2081P0301XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationBrain Injury Medicine
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice