THOMAS JAMES BERGERSON
NPI 1700501103
Counselor - Professional in Cambridge, MN
About Thomas James Bergerson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS JAMES BERGERSON (NPI 1700501103) is an individual professional provider in Cambridge, Minnesota and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas James Bergerson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Thomas Bergerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Owatonna, MN 55060
- Reassigned Medicare billing, Minnesota enrollment
- 79 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Thomas Bergerson's NPI number?
The NPI number for Thomas Bergerson is 1700501103. It was assigned to this individual provider in the NPPES registry on October 7, 2022.
Where is Thomas Bergerson located?
Thomas Bergerson practices at 340 Garfield St S, Cambridge, MN 55008. The listed phone number is (320) 982-0035.
What is Thomas Bergerson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Thomas Bergerson enrolled in Medicare?
Yes. Thomas Bergerson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Thomas Bergerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Bergerson reassigns Medicare benefits to Fernbrook Family Center, Inc (Owatonna, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Bergerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Thomas Bergerson was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Thomas James Bergerson · NPI 1700501103
Professional provider in Cambridge, Minnesota. Individual provider, active in the CMS NPPES registry since October 7, 2022.
## Identity
- **NPI:** 1700501103 (Entity type: Individual)
- **Enumerated:** October 7, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 340 GARFIELD ST S, Cambridge, MN 55008-1772
- **Phone:** (320) 982-0035
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Fernbrook Family Center, Inc (NPI 1659483915, Owatonna, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700501103) · Data from the CMS NPPES public registry.