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DR. KENT DAVIS BERGH M.D.
NPI 1467497610
Family Medicine in Maplewood, MN

Active since June 19, 2006
3100 KENNARD ST, SUITE 100 HEALTHEAST PHYSICIAN SERVICE,, MAPLEWOOD, MN 55109(651) 232-7800 Get Directions Write a Review

NPPES record last updated: June 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kent Davis Bergh M.d. NPPES

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

DR. KENT DAVIS BERGH M.D. (NPI 1467497610) is an individual family medicine provider in Maplewood, Minnesota, licensed in Minnesota (21143) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1467497610
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENT DAVIS BERGHCredential: M.D.
Location Address3100 KENNARD ST, SUITE 100 HEALTHEAST PHYSICIAN SERVICE,Maplewood, MN 55109
Mailing Address3100 Kennard St, Suite 100 Healtheast Maplewood Clinic,Maplewood, MN 55109 · (651) 232-7800
Phone(651) 232-7800
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateJune 8, 2010
✔ NPI 1467497610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 21143
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3100 KENNARD ST, Maplewood, MN 55109
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Other Identifiers 13

Other1000069MN · Preferred One
Medicare ID-Type Unspecified080011942MN · Mn Medicare
OtherHP20018MN · Healthpartners
Medicare ID-Type Unspecified080190748MN · Railroad Medicare
Other66-07567MN · Medica Choice
Other97384BEMN · Bcbs
Medicaid1540237IA
Other01-22438MN · Medica Choice & Primary
Medicare UPINA95315MN
Other102680MN · Ucare
Other411743943MN · Triwest
Medicaid341595300MN
Other768021MN · Araz

Other Providers at the Same Location NPPES 11

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

KARIN E DETIENNE
Licensed Practical Nurse
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (651) 225-5447
MRS. ALYSSA RAE WILLIAMS LPN
Licensed Practical Nurse
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (651) 225-5420
HAVONA MOORE
Licensed Practical Nurse
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (651) 225-5456
ANGELA ROESER LPN
Licensed Practical Nurse
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (651) 747-4652
MORGAN MCKINLEY
Licensed Practical Nurse
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (651) 225-5420
THOMAS GROVE WILSON CNP
Nurse Practitioner (Primary Care)
3100 KENNARD ST, SUITE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800
GEORGIANN MARIE MELTON PSYCHOTHERAPIST
Counselor (Addiction (Substance Use Disorder))
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (612) 356-4634
CHRISTOPHER NEVILLE USSHER M.D.
Internal Medicine (Rheumatology)
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (650) 737-2692

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 Kent Bergh's NPI number?

The NPI number for Kent Bergh is 1467497610. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Kent Bergh located?

Kent Bergh practices at 3100 Kennard St Suite 100 Healtheast Physician Service,, Maplewood, MN 55109. The listed phone number is (651) 232-7800.

What is Kent Bergh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kent Bergh was last updated on June 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.