Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARS BERGESON, M.D.
ActiveDR. LARS BERGESON, M.D. is a Family Medicine healthcare provider located in PROVIDENCE, Utah. NPI 1497721195 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PROVIDENCE, UT
Registration Details
- NPI Number
- 1497721195
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2006 (20.428133385506 yrs)
- Last Updated
- Nov 9, 2009
- License
-
170371-1205 (UT)
Practice Information
- Address
-
382 W 280 NPROVIDENCE, UT, 843329707Browse UT providers · Browse ZIP 84332
- Phone
- 4357520330
- Fax
- 4357550922
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PROVIDENCE, UT
| Name | Credential | NPI |
|---|---|---|
| VERA B CARLSON | MD, PHD | 1023095585 |
| DR. KEVIN R DUKE | D.O. | 1003882713 |
| RICHARD T STEVENS | MD | 1790739449 |
| THOMAS H CLARK | MD | 1295741114 |
| JEREMY BROADHURST | DO | 1114115664 |
| JAMES DENNIS MATHEWS | DO | 1518113216 |
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.