BEVERLY JEAN BERGUM (NPI# 1043442304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043442304 |
| Entity Type | Individual |
| Full Name | BEVERLY JEAN BERGUM |
| Credential | RN |
| Practice Address |
812 4th Ave Sw Perham MN 56573-1632 |
| Practice Telephone | 2183463266 |
| Mailing Telephone | 2183463266 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
R88457-2 | MN | Nursing Service Providers |
| Street Address |
812 4TH AVE SW |
| City | PERHAM |
| State | MN |
| Zip Code | 56573-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
| 1730239385 | Dr. Kelvin K. Salathe, P.C. | Chiropractor | 101 West Coney St, Perham, MN 56573 | 2007-01-12 |
| 1124106299 | Langen Family Chiropractic, P.a. | Chiropractor | 108 Market Dr., Perham, MN 56573 | 2006-11-02 |
| 1285710335 | James Odin Langen | Chiropractor | 108 Market Drive, Perham, MN 56573 | 2006-10-31 |
| 1578572202 | Michael L Hamann | Dentist | 200 1st Ave S, Perham, MN 56573 | 2006-08-05 |
| 1033133517 | Timothy Charles Neitzke | Optometrist | 340 Fox St, Perham, MN 56573 | 2006-07-27 |
| 1023063757 | Shopko Stores Operating Co LLC | Pharmacy | 300 Jake St, Perham, MN 56573 | 2006-05-23 |
| 1164917233 | Katlin Larson | Behavior Technician | 735 3rd St Sw, Perham, MN 56573 | 2018-06-29 |
| 1104029347 | Tammy L Sturdevant | Dentist | 335 4th Ave, Perham, MN 56573 | 2007-06-06 |
| 1861610131 | Minnesota Eyecare Network Inc. | Eyewear Supplier (Equipment, not the service) | 340 Fox Street, Perham, MN 56573 | 2007-04-23 |
| Find all providers in zip 56573 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588287510 | Sidni Olson | Registered Nurse | 1216 2nd St Nw # 6d, Rochester, MN 55901-0322 | 2020-05-26 |
| 1407476062 | Lacey Groebner | Registered Nurse | 501 E Cottonwood St, Springfield, MN 56087-2601 | 2020-04-23 |
| 1891325122 | Miranda Neubauer | Registered Nurse | 13967 Erwin Ct, Eden Prairie, MN 55344-2295 | 2020-01-26 |
| 1023648359 | Bao Vang | Registered Nurse | 12630 Able Cir Ne, Blaine, MN 55434-3180 | 2020-01-26 |
| 1710449178 | Tou Lee | Registered Nurse | 1373 Beech St, Saint Paul, MN 55106-4807 | 2019-04-04 |
| 1467924852 | Sarah Deviley | Registered Nurse | 9301 31st Ave N, New Hope, MN 55427-2320 | 2018-12-22 |
| 1316417843 | Beatrice Hatfield | Registered Nurse | 5229 37th Ave S, Minneapolis, MN 55417-2127 | 2018-11-27 |
| 1427532340 | Michael Occhino Jones | Registered Nurse | 3209 Blaisdell Ave, Minneapolis, MN 55408-4420 | 2018-09-17 |
| 1750870515 | Jamie C. Lang | Registered Nurse | 14362 Utica Ave., Savage, MN 55378 | 2018-05-08 |
| 1013435692 | Miranda Moser | Registered Nurse | 19905 Highway 7 Ste C1, Excelsior, MN 55331-8158 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
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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.