Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Max Frederick Bergstrom, PA-C

Individual provider Physician Assistant · NPI 1104591874

Mr. Max Frederick Bergstrom, PA-C is a Physician Assistant in Concord, North Carolina. Qualified in 2021, 5 years ago. Practices with Comprehab, Inc, a 398-clinician group. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

354 Copperfield Blvd NE
Concord, NC 28025-2402
Phone: (704) 786-5122
Fax: (704) 782-8279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11420 (NC)

Record details

NPI number1104591874
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 13, 2021
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Comprehab, Inc — 398 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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