MR. DEANE BERGSRUD P.A.
NPI 1124234455
Physician Assistant in Alexandria, VA

NPI Status: Active since May 15, 2007

Contact Information

4660 KENMORE AVE
SUITE 900
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 212-0700
Fax: (703) 212-0705

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  • Individual
  • Male
  • Physician Assistant

About DEANE BERGSRUD

This page provides the complete NPI Profile along with additional information for Deane Bergsrud, a primary care provider established in Alexandria, Virginia with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1124234455 assigned on May 2007. The practitioner's primary taxonomy code is 363A00000X with license number 0110000120 (VA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1124234455
Provider Name
MR. DEANE BERGSRUD P.A.
Gender
Male
Entity Type
Individual
Location Address
4660 KENMORE AVE SUITE 900 ALEXANDRIA, VA 22304
Location Phone
(703) 212-0700
Location Fax
(703) 212-0705
Mailing Address
4660 KENMORE AVE SUITE 900 ALEXANDRIA, VA 22304
Mailing Phone
(703) 212-0700
Mailing Fax
(703) 212-0705
Is Sole Proprietor?
No
Enumeration Date
05-15-2007
Last Update Date
07-08-2007
Code Navigator

A primary care provider (PCP) like Deane Bergsrud sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0110000120
License State
VA
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124234455, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 4 + 3 + 8 + 4 + 1 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1124234455.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
4660 KENMORE AVE, STE 220
ALEXANDRIA, VA 22304
Ophthalmology
4660 KENMORE AVE, SUITE 416
ALEXANDRIA, VA 22304
Urology
4660 KENMORE AVE, SUITE 735
ALEXANDRIA, VA 22304
Specialist
4660 KENMORE AVE, SUITE 900
ALEXANDRIA, VA 22304
Internal Medicine
4660 KENMORE AVE, SUITE 600
ALEXANDRIA, VA 22304
Dermatology
4660 KENMORE AVE, SUITE 500
ALEXANDRIA, VA 22304
Internal Medicine (Hematology & Oncology)
4660 KENMORE AVE, SUITE 1018
ALEXANDRIA, VA 22304
Internal Medicine
4660 KENMORE AVE, SUITE 710
ALEXANDRIA, VA 22304
Internal Medicine
4660 KENMORE AVE, SUITE 710
ALEXANDRIA, VA 22304
Audiologist-Hearing Aid Fitter
4660 KENMORE AVE, STE 409
ALEXANDRIA, VA 22304
Dentist (Oral and Maxillofacial Surgery)
4660 KENMORE AVE, SUITE # 204
ALEXANDRIA, VA 22304
Hearing Instrument Specialist
4660 KENMORE AVE, # 409
ALEXANDRIA, VA 22304
Surgery
4660 KENMORE AVE, SUITE 419
ALEXANDRIA, VA 22304
Obstetrics & Gynecology
4660 KENMORE AVE, STE 1100
ALEXANDRIA, VA 22304
Obstetrics & Gynecology
4660 KENMORE AVE, SUITE 1100
ALEXANDRIA, VA 22304
Obstetrics & Gynecology
4660 KENMORE AVE, SUITE 1100
ALEXANDRIA, VA 22304
Psychiatry & Neurology (Neurology)
4660 KENMORE AVE, SUITE 408
ALEXANDRIA, VA 22304
Internal Medicine (Gastroenterology)
4660 KENMORE AVE, SUITE 1206
ALEXANDRIA, VA 22304
Internal Medicine (Gastroenterology)
4660 KENMORE AVE, #305
ALEXANDRIA, VA 22304
Dentist (Periodontics)
4660 KENMORE AVE, SUITE 300
ALEXANDRIA, VA 22304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124234455, enumerated as an "individual" on May 15, 2007.

The provider is located at 4660 KENMORE AVE SUITE 900 ALEXANDRIA, VA 22304 and the phone number is (703) 212-0700.

Physician Assistant with taxonomy code 363A00000X.