National Provider Identifier
Lisa Bergsma, D.O.
Lisa Bergsma, D.O. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Rochester, NY and a listed phone number of (585) 463-2940.
Profile Overview
- NPI
- 1396004842
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- May 03, 2012
- Last Updated
- August 28, 2018
Practice Location
- 601 Elmwood Ave
- Box 655
- Rochester, NY 14642
Phone: (585) 463-2940
Mailing Address
- 4100 Embassy Dr Se Ste 400
- Grand Rapids, MI 49546-2416
Specialties
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1396004842
- Entity Type
- Individual
- Last Name
- Bergsma
- First Name
- Lisa
- Credential
- D.O.
- Provider Other Last Name
- Clark
- Provider Other First Name
- Lisa
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4100 Embassy Dr Se Ste 400
- Mailing City
- Grand Rapids
- Mailing State
- MI
- Mailing ZIP Code
- 49546-2416
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box 655
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642
- Practice Country
- US
- Practice Phone
- (585) 463-2940
- Enumeration Date
- May 03, 2012
- Last Updated
- August 28, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X)