DR. DYLAN TETSUO BERGSTEDT MD
NPI 1396321055
Student in an Organized Health Care Education/Training Program in Denver, CO

Active since March 23, 2021PECOS Enrolled
1960 N OGDEN ST STE 400, DENVER, CO 80218(303) 318-1540 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2021, Mar 23, 2021 (2 updates tracked since 2021).

About Dr. Dylan Tetsuo Bergstedt Md NPPES

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

DR. DYLAN TETSUO BERGSTEDT MD (NPI 1396321055) is an individual student in an organized health care education/training program in Denver, Colorado, licensed in Colorado (L000---) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396321055
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DYLAN TETSUO BERGSTEDTCredential: MD
Location Address1960 N OGDEN ST STE 400Denver, CO 80218-3670
Mailing Address1960 N Ogden St Ste 400Denver, CO 80218-3670
Sole ProprietorNo
Enumeration DateMarch 23, 2021
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
NPI 1396321055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CO · L000---
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1960 N OGDEN ST STE 400, Denver, CO 80218

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dylan Tetsuo Bergstedt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218
Student in an Organized Health Care Education/Training Program
1960 N OGDEN ST STE 400
DENVER, CO 80218

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 Dylan Bergstedt's NPI number?

The NPI number for Dylan Bergstedt is 1396321055. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Dylan Bergstedt located?

Dylan Bergstedt practices at 1960 N Ogden St Ste 400, Denver, CO 80218. The listed phone number is (303) 318-1540.

What is Dylan Bergstedt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dylan Bergstedt enrolled in Medicare?

Yes. Dylan Bergstedt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dylan Bergstedt was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.