Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL ALAN BERGUM, D.O.
ActiveRUSSELL ALAN BERGUM, D.O. is a Sports Medicine healthcare provider located in ROCHESTER, Minnesota. NPI 1669400024 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · ROCHESTER, MN
Registration Details
- NPI Number
- 1669400024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2006 (20.084943020599 yrs)
- Last Updated
- Aug 16, 2023
- License
-
42602 (MN)
Practice Information
- Address
-
2560 2ND ST SW STE 120ROCHESTER, MN, 559024363Browse MN providers · Browse ZIP 55902
- Phone
- 5073610400
- Fax
- 8663716710
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in ROCHESTER, MN
| Name | Credential | NPI |
|---|---|---|
| MATTHEW C THOMPSON | MD | 1144236555 |
| MARK CIPRIANI JR. | M.D. | 1871974022 |
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.