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LARS BERGESON, MD, PC
NPI 1336335884
Clinic/Center - Health Service in Providence, UT

Active since September 19, 2007
382 N 280 W, PROVIDENCE, UT 84332(435) 752-0330(435) 755-0922 Get Directions Write a Review

NPPES record last updated: February 1, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lars Bergeson, Md, Pc NPPES

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

LARS BERGESON, MD, PC (NPI 1336335884) is a healthcare organization registered as a health service in Providence, Utah and active in the NPI registry since September 2007. The organization lists Lars Bergeson, Owner, as its authorized official.

NPPES Registry Identity

NPI1336335884
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameLARS BERGESON, MD, PC
Location Address382 N 280 WProvidence, UT 84332-0609
Mailing AddressPo Box 609, 382 N 280 WProvidence, UT 84332-0609 · (435) 752-0330 · Fax (435) 755-0922
Phone(435) 752-0330
Fax(435) 755-0922
Organization SubpartNo
Authorized OfficialLars BergesonOwner · (435) 752-0330
Enumeration DateSeptember 19, 2007
Last NPPES UpdateFebruary 1, 2010
✔ NPI 1336335884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in UT · 170371-1205
382 N 280 W, Providence, UT 84332
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Other Identifiers 2

Medicare UPINC63887UT
Medicare PIN000011835UT

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 Lars Bergeson, MD, PC's NPI number?

The NPI number for Lars Bergeson, MD, PC is 1336335884. It was assigned to this organization in the NPPES registry on September 19, 2007.

Where is Lars Bergeson, MD, PC located?

Lars Bergeson, MD, PC is located at 382 N 280 W, Providence, UT 84332. The listed phone number is (435) 752-0330.

What is Lars Bergeson, MD, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Lars Bergeson, MD, PC was last updated on February 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.