IndividualActive
Bergen Kassoff, PA-C
NPI 1295420875 · Physician Assistant · Washington, DC
Provider details
- NPI number
- 1295420875
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- C0009332 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
106 Irving St Nw Ste 216
Washington, DC 20010-2993
Phone: (301) 742-6051
Approximate (ZIP-level) locationGet directions
Mailing address
106 Irving St Nw Ste 216
Washington, DC 20010-2993
Registry dates
- Enumerated
- 2023-04-10
- Last updated
- 2024-04-19
- Certified
- 2024-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.