Mr. Nelvin Glenn Bergonia Ison
CRNP | Nurse Practitioner | 8+ years Exp
310 E Pulaski Hwy, Elkton
Maryland, 21921-6435
443-485-6213
Mr. Nelvin Glenn Bergonia Ison is a Elkton, Maryland based nurse practitioner with 8 years of experience in Nurse Practitioner. He completed his graduation in 2018. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Nelvin Glenn Bergonia Ison is R176504 for Family in Maryland. His current practice location is 310 E Pulaski Hwy, Elkton. Patients can reach him at 443-485-6213 or can fax him at 443-485-6226. Mr. Nelvin Glenn Bergonia Ison is CRNP with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1447811534.
Mr. Nelvin Glenn Bergonia Ison has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Nelvin Glenn Bergonia Ison speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Nelvin Glenn Bergonia Ison |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | CRNP |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2018 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 310 E Pulaski Hwy, Elkton,
Maryland, 21921-6435 |
| Phone: | 443-485-6213 |
| Fax: | 443-485-6226 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6608108766 |
| Enrollment ID: | I20191023001402 |
| NPI Number: | 1447811534 |
| NPI Enumeration Date: | 28 Jun, 2019 |
| NPI Last Update On: | 29 Oct, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Nelvin Glenn Bergonia Ison are as mentioned below.
| License Number | Specialization | State | Status | |
| R176504 | Family | Maryland | Primary | |
| R176504 | Registered Nurse | Maryland | Secondary | |
| R176504 | Nurse Practitioner | Maryland | Secondary | |
| LG-0012948 | Nurse Practitioner | Delaware | Secondary | |
| LG-0012948 | Family | Delaware | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Nelvin Glenn Bergonia Ison is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Lifebridge Community Physicians Inc (3678751468) | 141 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Nelvin Glenn Bergonia Ison
104 Plumtree Rd,
Bel Air, Maryland |
| Zip: | 21015-6095 |
| Phone Number: | 410-515-4300 |
| Fax Number: | 410-601-1052 |
Patients can reach Mr. Nelvin Glenn Bergonia Ison at
310 E Pulaski Hwy, Elkton, Maryland or can
call to book an appointment on 443-485-6213.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.