LARS BERGESON, M.D., PC NPI 1982933750

Point of Service in Providence, UT

Organization Point of Service

About LARS BERGESON, M.D., PC

Lars Bergeson, M.d., Pc is a provider established in Providence, Utah specializing in Point Of Service. The NPI number of Lars Bergeson, M.d., Pc is 1982933750 and was assigned on December 2009. The practitioner's primary taxonomy code is 305S00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Lars Bergeson M.d. (Owner)

NPI

1982933750

Provider NameLARS BERGESON, M.D., PC
Provider Location Address382 W 280 N PROVIDENCE, UT 84332
Provider Mailing AddressPO BOX 609 382 W 280 N PROVIDENCE, UT 84332
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-08-2009
Last Update Date12-08-2009


Primary Taxonomy

Taxonomy Code305S00000X
ClassificationPoint of Service
TypeManaged Care Organizations
Taxonomy DescriptionThis product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Business Address

LARS BERGESON, M.D., PC
382 W 280 N
PROVIDENCE, UT
ZIP 84332
Phone: (435) 752-0330
Fax: (435) 755-0922

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Mailing Address

LARS BERGESON, M.D., PC
PO BOX 609
382 W 280 N
PROVIDENCE, UT
ZIP 84332
Phone: (435) 752-0330
Fax: (435) 755-0922


Authorized Official

Authorized Official NameDR. LARS BERGESON M.D.
Authorized Official TitleOWNER
Authorized Official Phone(435) 752-0330

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
157381244047MEDICAID (05)UT
C63887MEDICARE UPIN (02)UT

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1982933750
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291621836710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 1 + 8 + 3 + 6 + 7 + 1 + 0 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1982933750 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497721195DR. LARS BERGESON M.D.
Individual
Family Medicine382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
1003001959KEVIN R DUKE, DO, PC
Organization
Clinic/Center (Health Service)382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
1093154031JAMES DENNIS MATHEWS, D.O., P.C.
Organization
Clinic/Center (Health Service)382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
1144475674MOUNTAINSTAR MEDICAL GROUP- CACHE VALLEY, LLC
Organization
Family Medicine382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
1003882713DR. KEVIN R DUKE D.O.
Individual
Family Medicine382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
1689089666 RYAN ALLEN DO
Individual
Family Medicine382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
1518113216 JAMES DENNIS MATHEWS D.O.
Individual
Family Medicine382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
1790739449DR. RICHARD T STEVENS M.D.
Individual
Family Medicine382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Lars Bergeson, M.d., Pc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.