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DR. BERT EUGENE BERGLAND D.O. NPI 1407111768


NPI Information

NPI: 1407111768
Provider Name: DR. BERT EUGENE BERGLAND, D.O.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
6915 TUTT BLVD STE 110B
COLORADO SPRINGS, CO
ZIP 80923
Phone: (888) 852-6672
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DR. Bert Eugene Bergland, D.O. is an adult medicine family medicine in Colorado Springs, CO with 50 years of experience. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Bert Eugene Bergland, D.O. NPI is 1407111768. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1974

The provider's business location address is:

6915 TUTT BLVD STE 110B
COLORADO SPRINGS, CO
ZIP 80923-591
Phone: (888) 852-6672
Fax: (719) 591-6486

The NPI 1407111768 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2012 and was last updated on 3/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineDOS-1349HAWAIINo
2207R00000XInternal Medicine19594COLORADONo
3207QA0505XFamily MedicineAdult MedicineDR.0019594COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.