1. Home
  2. Directory
  3. North Dakota
  4. Grand Forks
  5. Technician Other
  6. NPI Profile

JAXON BERGUM
NPI 1003574971
Technician, Other in Grand Forks, ND

Active since December 07, 2021
930 N 3RD ST, GRAND FORKS, ND 58203(701) 795-9143 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaxon Bergum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAXON BERGUM (NPI 1003574971) is an individual technician, other provider in Grand Forks, North Dakota, licensed in (10586) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1003574971
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameJAXON BERGUM
Location Address930 N 3RD STGrand Forks, ND 58203-2408
Mailing Address930 N 3rd StGrand Forks, ND 58203-2408 · (701) 795-9143
Phone(701) 795-9143
Sole ProprietorNo
Enumeration DateDecember 7, 2021
NPPES CertifiedDecember 7, 2021
✔ NPI 1003574971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
License✔ Licensed · 10586
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
930 N 3RD ST, Grand Forks, ND 58203
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NYAH-ZIAWON (WILL) GAYPIA
Technician, Other
930 N 3RD ST
GRAND FORKS, ND 58203
Grand Forks County (701) 795-9143
CARLA TORGERSON RN
Registered Nurse
930 N 3RD ST
GRAND FORKS, ND 58203
Grand Forks County (701) 795-9143
CASEY ALLYN SCHILL
Technician, Other
930 N 3RD ST
GRAND FORKS, ND 58203
Grand Forks County (701) 795-9143
KRISTIE OLSON
Technician, Other
930 N 3RD ST
GRAND FORKS, ND 58203
Grand Forks County (701) 795-9143
VICTORIA GREEN
Technician, Other
930 N 3RD ST
GRAND FORKS, ND 58203
Grand Forks County (701) 795-9143
OLIVIA AKINPELU
Technician, Other
930 N 3RD ST
GRAND FORKS, ND 58203
Grand Forks County (701) 795-9143
JUSTIN BINA
Case Manager/Care Coordinator
930 N 3RD ST
GRAND FORKS, ND 58203
Grand Forks County (701) 795-9143
KRYSTLE OSOWSKI
Specialist
930 N 3RD ST
GRAND FORKS, ND 58203
Grand Forks County (701) 795-9143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaxon Bergum's NPI number?

The NPI number for Jaxon Bergum is 1003574971. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Jaxon Bergum located?

Jaxon Bergum practices at 930 N 3rd St, Grand Forks, ND 58203. The listed phone number is (701) 795-9143.

What is Jaxon Bergum's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Jaxon Bergum was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.