RICHARD F BERGSTROM (NPI# 1023094679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023094679 |
| Entity Type | Individual |
| Full Name | RICHARD F BERGSTROM |
| Credential | MD |
| Practice Address |
804 Kenyon Rd Suite 320 Fort Dodge IA 50501-5742 |
| Mailing Address |
802 Kenyon Rd Rm 513 Fort Dodge IA 50501-5740 |
| Practice Telephone | 5155748333 |
| Mailing Telephone | 5155746890 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2014-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 17738 | IA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 13619 | NE | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
17738 | IA | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
13619 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47081915413 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326196841 | Richard Walter Bergstrom | Internal Medicine | 9135 Sw Barnes Rd Ste 985, Portland, OR 97225-6699 | 2007-01-08 |
| 1679557367 | Richard T Bergstrom | Otolaryngology | 3305 Placer St, Ste A, Redding, CA 96001-2364 | 2005-12-06 |
| Street Address |
804 KENYON RD SUITE 320 |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737185 | Eric W Bligard | Ophthalmology | 804 Kenyon Rd, Fort Dodge, IA 50501-5746 | 2005-08-17 |
| 1326664533 | Michael David Wilson | Podiatrist | 804 Kenyon Rd, Fort Dodge, IA 50501-5742 | 2020-06-23 |
| 1952887382 | Teri Lyn Townsend | Nurse Practitioner | 804 Kenyon Rd, Fort Dodge, IA 50501-5742 | 2018-07-18 |
| 1225582505 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 804 Kenyon Rd, Ste D, Fort Dodge, IA 50501-5744 | 2016-08-04 |
| 1770036691 | Centers for Allergy, Asthma and Immune Disorders PC | Allergy & Immunology | 804 Kenyon Rd, Fort Dodge, IA 50501-5742 | 2016-07-27 |
| 1730539255 | Sean Andrew Harper | Podiatrist | 804 Kenyon Rd, Suite 310, Fort Dodge, IA 50501-5742 | 2016-06-15 |
| 1992170856 | Gary Gansen | Podiatrist | 804 Kenyon Rd, Suite 310, Fort Dodge, IA 50501-5742 | 2015-12-03 |
| 1982076295 | Megan G Heesch | Nurse Practitioner | 804 Kenyon Rd, Suite F, Fort Dodge, IA 50501-5742 | 2015-10-26 |
| 1558737239 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd, Ste 160a, Fort Dodge, IA 50501-5742 | 2015-08-17 |
| 1033527114 | Trimark Physicians Group | Clinic/Center | 804 Kenyon Rd, Ste D, Fort Dodge, IA 50501-5744 | 2014-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707210 | James J Mueller | Orthopaedic Surgery | 804 Kenyon Rd Ste 320, Fort Dodge, IA 50501-5742 | 2005-06-01 |
| 1013112986 | Benjamin E Tuy | Orthopaedic Surgery | 804 Kenyon Rd, Suite 320, Fort Dodge, IA 50501-5742 | 2007-06-19 |
| 1285687418 | Emile C Li | Orthopaedic Surgery | 2700 1st Ave S, Suite 100, Fort Dodge, IA 50501-4300 | 2006-05-18 |
| 1073594156 | Trinity Regional Medical Center | Orthopaedic Surgery | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740660802 | Mercy Medical Center - Newton | Orthopaedic Surgery | 300 N 4th Ave E Ste C, Newton, IA 50208-3155 | 2015-06-04 |
| 1891057550 | Cnos, PC | Orthopaedic Surgery | 2735 Outer Drive N, Sioux City, IA 51104-1590 | 2012-06-08 |
| 1568730323 | Jonathan D Winston | Orthopaedic Surgery | 2300 53rd Ave Ste 100, Bettendorf, IA 52722-7565 | 2011-12-08 |
| 1770874034 | Megan Crosmer | Orthopaedic Surgery | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2011-04-21 |
| 1457672719 | Paul Butler | Orthopaedic Surgery | 350 Ne 36th St Ste 213, Ankeny, IA 50021-6728 | 2010-06-21 |
| 1164690574 | Md West One, PC | Orthopaedic Surgery | 201 Ridge St Ste 311, Council Bluffs, IA 51503-4643 | 2008-02-19 |
| 1487849527 | Joseph Albert Brunkhorst IIi | Orthopaedic Surgery | 350 Ne 36th St, Ankeny, IA 50021-6728 | 2007-09-12 |
| 1942409172 | David S. Tearse M.d., LLC | Orthopaedic Surgery | 112 14th St Se, Cedar Rapids, IA 52403-4025 | 2007-07-17 |
| 1134334006 | Jason Stanford | Orthopaedic Surgery | 516 Division St Ste 125, Cedar Falls, IA 50613-2380 | 2007-05-13 |
| 1982756284 | The Grinnell Institute for Bone Health | Orthopaedic Surgery | 810 Commercial St., Grinnell, IA 50112 | 2007-01-17 |
| Find all providers with the same taxonomy | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.