Kenneth R Bergman
Medical Specialty
Professional ID
- NPI: 1013912252
- PECOS ID: 7517111354
- Enrollment ID: I20130204000189
- Credential(MD, DO, DPM):
- Medical School: University Of Rochester School Of Medicine And Dentistry
- Medical School Graduation Year: 1967
Medical Practices
- Organization Name: Loudoun Medical Group Pc
- Group Practice ID assigned by PECOS: 0042119661
- Number of Group Practice member: 191
Location
- Address1: 13890 Braddock Rd
- Address2: Suite 206
- City: Centreville
- State: Virginia
- Zip Code: 20121
- Phone Number: (703)263-2333
Location
- Address1: 14535 John Marshall Hwy 212
- Address2:
- City: Gainesville
- State: Virginia
- Zip Code: 20155
- Phone Number: (703)263-2333
Location
- Address1: 5249 Duke St
- Address2: Suite 100
- City: Alexandria
- State: Virginia
- Zip Code: 22304
- Phone Number: (703)370-2814
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):