MRS. BRANDY BERGESON (NPI# 1538495320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538495320 |
| Entity Type | Individual |
| Full Name | MRS. BRANDY BERGESON |
| Credential | OTR/L |
| Practice Address |
18107 N Palomino Rd Colbert WA 99005-9316 |
| Practice Telephone | 5098639291 |
| Mailing Telephone | 5098639291 |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OT 60100681 | WA | Other Service Providers |
| Street Address |
18107 N PALOMINO RD |
| City | COLBERT |
| State | WA |
| Zip Code | 99005-9316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811298227 | Stephanie Huntley | Occupational Therapist | 16306 N Chronicle Ln, Colbert, WA 99005-4502 | 2010-11-16 |
| 1184922809 | Kinetic Orthopedics | Durable Medical Equipment & Medical Supplies | 17120 N Dakota Ln, Colbert, WA 99005-5015 | 2011-03-03 |
| 1538246152 | Debra Jean Ravasia | Obstetrics & Gynecology | 16809 N Cincinnati Ln, Colbert, WA 99005-5107 | 2006-11-01 |
| 1639292790 | John David Johnson IIi | Audiologist | 21626 N Hille Ln, Colbert, WA 99005-8304 | 2007-04-06 |
| 1174045421 | Kim Sain | Psychologist | 18024 N Addison Ct, Colbert, WA 99005-8524 | 2017-07-07 |
| 1396040077 | Shelly Marie Henderson | Residential Treatment Facility, Physical Disabilities | 5612 E Cargill Ln, Colbert, WA 99005-9110 | 2011-01-11 |
| 1265854384 | Deborah Joy Bone | Occupational Therapist | 2105 E Half Moon Lake Ln, Colbert, WA 99005-9154 | 2014-01-08 |
| 1750718268 | Kevin G Sant | Pharmacist | 21417 Buckeye Lake Ln, Colbert, WA 99005-9191 | 2013-09-28 |
| 1235695453 | Deborah Kaye Hunt | Custodial Care Facility | 227 E Midway Rd, Colbert, WA 99005-9206 | 2019-02-12 |
| 1790185791 | Spokane International Academy | Local Education Agency (LEA) | 18020 N Redowa Dr, Colbert, WA 99005-9342 | 2014-08-26 |
| Find all providers in zip 99005 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643978 | Roxanne Grant-duell | Specialist | 12811 Canyon Rd E Ste D, Puyallup, WA 98373-6301 | 2020-06-08 |
| 1710500814 | Foundation Speech Language Learning | Specialist | 7406 27th St W Ste 24a, University Place, WA 98466-4636 | 2020-05-22 |
| 1477172963 | Gary W Bangs | Specialist | 325 9th Ave # Ms 359860, Seattle, WA 98104-2420 | 2020-04-14 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1457918351 | Barbara Irene Syverson | Specialist | 418 Ne 4th Ave Ste 105, Camas, WA 98607-2158 | 2019-05-26 |
| 1699231662 | Lice Spies LLC | Specialist | 8923 236th St Sw Ste C, Edmonds, WA 98026-9508 | 2019-02-14 |
| 1376019802 | Tina King | Specialist | 18 Nw 20th Ave Ste 103, Battle Ground, WA 98604-4175 | 2018-10-23 |
| 1538635420 | Amy Yvonne Galindo-ortega | Specialist | 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 | 2018-10-17 |
| 1780150904 | Lita Fogle | Specialist | 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 | 2018-10-15 |
| 1083199327 | Linnea Joy Wahlstrom-tarbet | Specialist | 8524 Steilacoom Blvd Sw Ste 201b, Lakewood, WA 98498-4772 | 2018-10-02 |
| 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.