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LARS BERGESON, M.D., PC
NPI 1982933750
Point of Service in Providence, UT

Active since December 08, 2009
382 W 280 N, PROVIDENCE, UT 84332(435) 752-0330(435) 755-0922 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lars Bergeson, M.d., Pc NPPES

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

LARS BERGESON, M.D., PC (NPI 1982933750) is a healthcare organization registered as a point of service in Providence, Utah and active in the NPI registry since December 2009. The organization lists Lars Bergeson, Owner, as its authorized official.

NPPES Registry Identity

NPI1982933750
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameLARS BERGESON, M.D., PC
Location Address382 W 280 NProvidence, UT 84332-0609
Mailing AddressPo Box 609, 382 W 280 NProvidence, UT 84332-0609 · (435) 752-0330 · Fax (435) 755-0922
Phone(435) 752-0330
Fax(435) 755-0922
Organization SubpartNo
Authorized OfficialLars BergesonOwner · (435) 752-0330
Enumeration DateDecember 8, 2009
✔ NPI 1982933750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This 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.
382 W 280 N, Providence, UT 84332
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Other Identifiers 2

Medicaid157381244047UT
Medicare UPINC63887UT

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.

KEVIN R DUKE, DO, PC
Clinic/Center (Health Service)
382 W 280 N
PROVIDENCE, UT 84332
Cache County (435) 752-0330
DR. KEVIN R DUKE D.O.
Family Medicine
382 W 280 N
PROVIDENCE, UT 84332
Cache County (435) 752-0330
JAMES DENNIS MATHEWS, D.O., P.C.
Clinic/Center (Health Service)
382 W 280 N
PROVIDENCE, UT 84332
Cache County (435) 752-0330
MOUNTAINSTAR MEDICAL GROUP- CACHE VALLEY, LLC
Family Medicine
382 W 280 N
PROVIDENCE, UT 84332
Cache County (435) 752-0330
ANDREW B GROSE DO
Family Medicine
382 W 280 N
PROVIDENCE, UT 84332
Cache County (435) 752-0330
DR. LARS BERGESON M.D.
Family Medicine
382 W 280 N
PROVIDENCE, UT 84332
Cache County (435) 752-0330
JAMES DENNIS MATHEWS DO
Family Medicine
382 W 280 N
PROVIDENCE, UT 84332
Cache County (435) 752-0330
RICHARD T STEVENS MD
Family Medicine
382 W 280 N
PROVIDENCE, UT 84332
Cache County (435) 752-0330

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, M.D., PC's NPI number?

The NPI number for Lars Bergeson, M.D., PC is 1982933750. It was assigned to this organization in the NPPES registry on December 8, 2009.

Where is Lars Bergeson, M.D., PC located?

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

What is Lars Bergeson, M.D., PC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Lars Bergeson, M.D., PC was last updated on December 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.