Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEANE BERGSRUD, P.A.
ActiveMR. DEANE BERGSRUD, P.A. is a Physician Assistant healthcare provider located in ALEXANDRIA, Virginia. NPI 1124234455 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ALEXANDRIA, VA
Registration Details
- NPI Number
- 1124234455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2007 (19.241576232706 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0110000120 (VA)
Practice Information
- Address
-
4660 KENMORE AVESUITE 900ALEXANDRIA, VA, 223041313Browse VA providers · Browse ZIP 22304
- Phone
- 7032120700
- Fax
- 7032120705
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ALEXANDRIA, VA
| Name | Credential | NPI |
|---|---|---|
| MR. KEITH WESLEY KETTELL | PA-C | 1417948670 |
| ROSE E FRAZIER | PAC | 1750368601 |
| CHERYL P ATHEARN | PA | 1366401705 |
| LYNETTE R SANDOVAL | PA | 1679507503 |
| JUSTINE D YOUNG | PA | 1326060344 |
| DONNA LYNN LACKORE SWANSON | PA-C | 1699789859 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.