NPI

Benjamin Bergevin

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
D.C.
Type
Individual
Enumeration date
2012-04-23
Last updated
2012-04-23

Specialties

Licenses

License WA
CH60278305

Location

Practice location
830 E Fairhaven Ave
City
Burlington WA
Postal code
98233-1917
Phone
(360) 757-7373

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Burlington, WA. 413 records in the public file.

Removal request

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