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DR. THEODORE J BERGSTROM M.D.
NPI 1598739716
Pediatrics in Walla Walla, WA

Active since February 14, 2006
55 W TIETAN ST, WALLA WALLA, WA 99362(509) 525-3720(509) 522-1578 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore J Bergstrom M.d. NPPES

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

DR. THEODORE J BERGSTROM M.D. (NPI 1598739716) is an individual pediatrics provider in Walla Walla, Washington, licensed in Washington (MD00022923) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1598739716
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. THEODORE J BERGSTROMCredential: M.D.
Location Address55 W TIETAN STWalla Walla, WA 99362-4445
Mailing Address55 W Tietan StWalla Walla, WA 99362-4445 · (509) 525-3720 · Fax (509) 522-1592
Phone(509) 525-3720
Fax(509) 522-1578
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateNovember 27, 2007
✔ NPI 1598739716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD00022923
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
55 W TIETAN ST, Walla Walla, WA 99362
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Other Identifiers 5

Other40225WA · L&i
Medicaid152421OR
Other10041910WA · Rail Road Medicare
Medicare UPINE20097WA
Medicaid1007525WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

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.

KEVIN JON MOLANDER M.D.
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
STACEY RENEE HAVEMAN PHYSICIAN ASSISTANT
Physician Assistant (Medical)
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
JUSTIN OLSWANGER DO
Family Medicine (Adult Medicine)
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
DR. JOHN ERIC MOORE D.O.
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
TIMOTHY ISAMU O'CONNOR M.D.
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
REBEKAH DICKMAN M.D.
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
DIANA FITZGERALD AU.D.
Audiologist
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
GUNNAR LEIGHTON JAMES SJOREN DPT
Physical Therapist
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720

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 Theodore Bergstrom's NPI number?

The NPI number for Theodore Bergstrom is 1598739716. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Theodore Bergstrom located?

Theodore Bergstrom practices at 55 W Tietan St, Walla Walla, WA 99362. The listed phone number is (509) 525-3720.

What is Theodore Bergstrom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Theodore Bergstrom accept?

Health plans from PacificSource Health Plans list Theodore Bergstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Bergstrom was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.