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DR. JACQUELINE MAIDA BERGDOLL M.D.
NPI 1174749717
General Practice in Seale, AL

Active since April 18, 2007
30 UCHEE PINES RD LOT 75, SEALE, AL 36875(334) 855-4764(334) 855-9014 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacqueline Maida Bergdoll M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE MAIDA BERGDOLL M.D. (NPI 1174749717) is an individual general practice provider in Seale, Alabama, licensed in Michigan (4301077244) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1174749717
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. JACQUELINE MAIDA BERGDOLLCredential: M.D.
Location Address30 UCHEE PINES RD LOT 75Seale, AL 36875-5726
Mailing Address30 Uchee Pines Rd Lot 61Seale, AL 36875-5734 · (334) 855-4765 · Fax (334) 855-9014
Phone(334) 855-4764
Fax(334) 855-9014
Sole ProprietorYes
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174749717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4301077244
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
30 UCHEE PINES RD LOT 75, Seale, AL 36875
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES IRWIN HORSLEY M.D.
General Practice
30 UCHEE PINES RD LOT 75
SEALE, AL 36875
Russell County (334) 855-4764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Bergdoll's NPI number?

The NPI number for Jacqueline Bergdoll is 1174749717. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Jacqueline Bergdoll located?

Jacqueline Bergdoll practices at 30 Uchee Pines Rd Lot 75, Seale, AL 36875. The listed phone number is (334) 855-4764.

What is Jacqueline Bergdoll's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Bergdoll was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.