Dr Charles Kenneth Bergdolt, - Family Medicine in Fpo, AA

Dr Charles Kenneth Bergdolt, is a Family Medicine physician based in Fpo, Armed Forces Americas. Dr Charles Kenneth Bergdolt is licensed to practice in Alabama (license number 8288488) and his current practice location is 2080 Child St, Jacksonville, Fl 32214, Fpo, Armed Forces Americas. He can be reached at his office (for appointments etc.) via phone at (904) 542-7300.

NPI number for Dr Charles Kenneth Bergdolt is 1194392241 and his current mailing address is 417 Clear Creek Vw, Prattville, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194392241.

Contact Information

Dr Charles Kenneth Bergdolt,
2080 Child St, Jacksonville, Fl 32214,
Fpo, AA 32214
(904) 542-7300
Not Available



Physician's Profile

Full NameDr Charles Kenneth Bergdolt
GenderMale
SpecialityFamily Medicine
Location2080 Child St, Jacksonville, Fl 32214, Fpo, Armed Forces Americas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194392241
  • Provider Enumeration Date: 06/08/2021
  • Last Update Date: 06/08/2021

Medical Identifiers

Medical identifiers for Dr Charles Kenneth Bergdolt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194392241NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 8288488 (Alabama)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Kenneth Bergdolt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Charles Kenneth Bergdolt,
417 Clear Creek Vw,
Prattville, AL 36067-6972

Ph: (334) 224-8053
Dr Charles Kenneth Bergdolt,
2080 Child St, Jacksonville, Fl 32214,
Fpo, AA 32214

Ph: (904) 542-7300

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› Verified 4 days ago


Family Medicine Doctors in Fpo, AA

Mr. Leonard Otis Rice, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 851 Ireland Ave., Fpo, AA 40162
Phone: 502-624-9626    
Tyler Kent Kendrick, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5502 Marvin Shields Blvd, Gulfport, Ms, Fpo, AA 39501
Phone: 228-871-4033    

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