DR. LARS BERGESON M.D.
NPI 1497721195
Family Medicine in Providence, UT

Active since February 23, 2006
382 W 280 N, PROVIDENCE, UT 84332(435) 752-0330(435) 755-0922 Get Directions Write a Review

NPPES record last updated: November 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lars Bergeson M.d. NPPES

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

DR. LARS BERGESON M.D. (NPI 1497721195) is an individual family medicine provider in Providence, Utah, licensed in Utah (170371-1205) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1497721195
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LARS BERGESONCredential: M.D.
Location Address382 W 280 NProvidence, UT 84332-9707
Mailing AddressPo Box 609Providence, UT 84332-0609 · (435) 752-0330 · Fax (435) 755-0922
Fax(435) 755-0922
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateNovember 9, 2009
NPI 1497721195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 170371-1205
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

382 W 280 N, Providence, UT 84332

Other Identifiers 2

Medicare UPINC-63887UT
Medicare ID-Type Unspecified000011835UT

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Health Service)
382 W 280 N
PROVIDENCE, UT 84332
Family Medicine
382 W 280 N
PROVIDENCE, UT 84332
Clinic/Center (Health Service)
382 W 280 N
PROVIDENCE, UT 84332
Family Medicine
382 W 280 N
PROVIDENCE, UT 84332
Family Medicine
382 W 280 N
PROVIDENCE, UT 84332
Family Medicine
382 W 280 N
PROVIDENCE, UT 84332
Family Medicine
382 W 280 N
PROVIDENCE, UT 84332
Point of Service
382 W 280 N
PROVIDENCE, UT 84332

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's NPI number?

The NPI number for Lars Bergeson is 1497721195. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Lars Bergeson located?

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

What is Lars Bergeson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lars Bergeson was last updated on November 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.