RANDALL P BERGEN DPM PC (NPI# 1285891432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285891432 |
| Entity Type | Organization |
| Organization Name | RANDALL P BERGEN DPM PC |
| Practice Address |
505 5th St Suite 714 Sioux City IA 51101-1500 |
| Practice Telephone | 7122553526 |
| Practice Fax Number | 7122550298 |
| Mailing Telephone | 7122553526 |
| Mailing Fax Number | 7122550298 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | RANDALL PAUL BERGEN (PRESIDENT PHYSICIAN) |
| Authorized Official Telephone | 7122553526 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0091108 | 05 | |
| IA | RAILROAD MEDICARE | 480007118 | 01 |
| IA | WELLMARK BCBS | 09110 | 01 |
| Street Address |
505 5TH ST SUITE 714 |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51101-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861466583 | Randall P. Bergen | Podiatrist | 505 5th St, Suite 714, Sioux City, IA 51101-1500 | 2006-02-17 |
| 1992195002 | Chronic Conditions Center LLC | Chiropractor | 505 5th St, Suite 206, Sioux City, IA 51101-1500 | 2015-01-27 |
| 1043616154 | Progressive Mental Health Solutions LLC | Nurse Practitioner | 505 5th St, Suite 523, Sioux City, IA 51101-1500 | 2014-11-17 |
| 1720049307 | Jessica S Clausen | Social Worker | 505 5th St, Suite 337, Sioux City, IA 51101-1500 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434691 | Dorcas Wambui Kamau | Nurse Practitioner | Jackson Recovery Centers, Inc., 800 5th Street, Sioux City, IA 51101 | 2018-04-11 |
| 1346763554 | Mercy Health Services - Iowa Corp | Skilled Nursing Facility | 801 5th St Fl 7, Sioux City, IA 51101 | 2017-07-19 |
| 1821427287 | Jason Leigh Wagner | Counselor | 505 5th St., Suite 520, Sioux City, IA 51101 | 2013-11-06 |
| 1124354352 | Carol Madsen Watchorn | Social Worker | Nseling Practice, 915 Pierce St, Sioux City, IA 51101 | 2009-10-22 |
| 1710024542 | Woodbury County, Iowa | Case Management | 620 Douglas, Rm B5, Sioux City, IA 51101 | 2007-01-31 |
| 1891863668 | Vivian Lea Miller | Counselor | 705 Douglas St, Suite 350, Sioux City, IA 51101 | 2006-12-01 |
| 1043265176 | Sharon K Fey | Internal Medicine | 700 4th Street, Ste 410, Sioux City, IA 51101 | 2006-05-24 |
| 1861965089 | Alexis Mae Semmler | Nurse Practitioner | 801 5th St, Sioux City, IA 51101 | 2019-01-10 |
| 1326524844 | Michaela Kristine Anderson | Nurse Practitioner | 801 5th St, Sioux City, IA 51101 | 2018-07-17 |
| 1073009486 | Carly Alyssa Turner | Social Worker | 625 Court St, Sioux City, IA 51101 | 2018-07-09 |
| Find all providers in zip 51101 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144700220 | Midwest Foot and Ankle Center PC | Clinic/Center | 804 Kenyon Rd Ste 310, Fort Dodge, IA 50501-5746 | 2018-08-17 |
| 1205483765 | Premier Foot & Ankle Surgeons of Iowa Pllc | Clinic/Center | 255 Sw Brookside Dr, Ste 200, Grimes, IA 50111-5244 | 2019-08-20 |
| 1003309865 | Podiatry Specialists of Iowa PC | Clinic/Center | 754 N Center Point Rd, Hiawatha, IA 52233 | 2018-06-07 |
| 1568707446 | Wayne L. Wagoner, Dpm, PC | Clinic/Center | 515 Rosemere Ln, Maquoketa, IA 52060-2615 | 2012-12-04 |
| 1831491182 | Jana Poock Dpm PC | Clinic/Center | 1340 E Hickman Rd, Waukee, IA 50263-8137 | 2010-11-18 |
| 1699935981 | Podiatrists PC | Clinic/Center | 1300 2nd Ave Se, Cedar Rapids, IA 52403-4008 | 2008-06-11 |
| City | SIOUX CITY |
| Zip Code | 51101 |
Please comment or provide details below to improve the information on RANDALL P BERGEN DPM PC.
| 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.