TYLER BERGSTROM NPI 1619276334

NPI Information

  • NPI: 1619276334
  • Provider Name: TYLER BERGSTROM
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2820 MOUNT RUSHMORE RD
    RAPID CITY, SD
    ZIP 57701
  • Phone: (605) 342-3280

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NPI Details

Tyler Bergstrom is a surgery in Rapid City, SD with 5 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Tyler Bergstrom NPI is 1619276334. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:2021

The provider's business location address is:

2820 MOUNT RUSHMORE RD
RAPID CITY, SD
ZIP 57701-462
Phone: (605) 342-3280

The NPI 1619276334 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.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
  • Fusion of spine bones through front of body with partial removal of disc, each additional disc (HCPCS:22585)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of gallbladder with x-ray study of bile ducts using an endoscope (HCPCS:47563)
  • Spinal fusion (HCPCS:NAN02)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/21/2011 and was last updated on 6/30/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery9906SOUTH DAKOTAYes

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: 11/21/2025

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