Individual provider · Type 1 NPI

Aileen Elizabeth Bergen, PA

Medical Physician Assistant · Virginia Beach, VA

NPI number 1003130402 Active

Practice location

1800 Camelot Dr Ste 300
Virginia Beach, VA 23454-2440

Call (757) 321-3300 Map

Fax (757) 321-3330

Mailing address

230 Clearfield Ave Ste 124
Virginia Beach, VA 23462-1832

Other practice locations

  • 1326 E Little Creek Rd, Norfolk, VA 23518-3952 · (757) 772-6122

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA2523 (TN)
Medical Physician Assistant Primary 363AM0700X0110003549 (VA)
Physician Assistant 363A00000X0110003549 (VA)
Physician Assistant 363A00000X013890 (NY)
Surgical Physician Assistant 363AS0400X2508 (SC)

Medical Physician Assistant: Definition to come...

11 other providers at this address

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About NPI 1003130402

Aileen Elizabeth Bergen, PA's National Provider Identifier is 1003130402, issued on Mar 15, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 11, 2025.