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LANCE K BERGSTROM M.D. NPI 1578509733


NPI Information

NPI: 1578509733
Provider Name: LANCE K BERGSTROM, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: LANCE K BERGSTROM MD PC

PECOS Registration: Yes

Address:
2601 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 235-5200
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Lance K Bergstrom, M.D. is a specialist in Fargo, ND with 33 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Lance K Bergstrom, M.D. NPI is 1578509733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1991

The provider's business location address is:

2601 UNIVERSITY DR S
FARGO, ND
ZIP 58103-025
Phone: (701) 235-5200
Fax: (701) 237-0927

The NPI 1578509733 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic imaging of retina (HCPCS:92134)
  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

The enumeration date for this NPI number is 6/22/2006 and was last updated on 8/9/2010.


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
1174400000XSpecialist38105MINNESOTANo
2174400000XSpecialist7230NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133A71BEOTHERMINNESOTAMN BCBS
2G11949MEDICARE UPINNORTH DAKOTA
3N23645MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTA
4180027900MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE
5G11949MEDICARE UPINMINNESOTA
618672MEDICAIDNORTH DAKOTA
7236454OTHERNORTH DAKOTAND BCBS
833A70BEOTHERMINNESOTAMN BCBS
9N711226MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTA
10180000864MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
1112698MEDICAIDNORTH DAKOTA
1201068001OTHERNORTH DAKOTABCBS OF ND
13080024400MEDICAIDMINNESOTA

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: 11/14/2023

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.