RANDALL P. BERGEN (NPI# 1861466583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861466583 |
| Entity Type | Individual |
| Full Name | RANDALL P. BERGEN |
| Credential | DPM |
| Practice Address |
505 5th St Suite 714 Sioux City IA 51101-1500 |
| Mailing Address |
505 5th St Ste 714 Sioux City IA 51101-1509 |
| Practice Telephone | 7122553526 |
| Practice Fax Number | 7122550298 |
| Mailing Telephone | 7122553526 |
| Mailing Fax Number | 7122550298 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2008-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 00319 | IA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
505 5TH ST SUITE 714 |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51101-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1285891432 | Randall P Bergen Dpm PC | Clinic/Center | 505 5th St, Suite 714, Sioux City, IA 51101-1500 | 2008-05-16 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184763500 | Sara Oelke | Podiatrist | 2916 Hamilton Blvd Uppr C, Sioux City, IA 51104-2519 | 2007-02-05 |
| 1215924253 | Marty J Kelley | Podiatrist | 2916 Hamilton Blvd, Sioux City, IA 51104-2429 | 2005-10-04 |
| 1336133966 | Paul Douglas Coffin | Podiatrist | 3450 S Lakeport St, Suite B, Sioux City, IA 51106-4509 | 2005-09-09 |
| 1699096537 | Foot & Ankle Associates of Siouxland, P.l.c. | Podiatrist | 3450 S Lakeport St, Suite B, Sioux City, IA 51106-4543 | 2010-06-15 |
| 1922201227 | Dr Greg J Mccarthy PC | Podiatrist | 2916 Hamilton Blvd, Sioux City, IA 51104-2429 | 2007-06-06 |
| 1831186865 | Gregory J Mccarthy | Podiatrist | 2916 Hamilton Blvd, Sioux City, IA 51104-2429 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744749 | Foot and Ankle Specialists of Ames, LLC | Podiatrist | 1606 S Duff Ave Ste 500, Ames, IA 50010-8156 | 2020-09-11 |
| 1659842045 | Iowa Foot Care Center LLC | Podiatrist | 217 Duff Ave Ste 2, Ames, IA 50010-6609 | 2018-12-10 |
| 1114417078 | Heartland Foot & Ankle Clinic PC | Podiatrist | 2850 Mount Pleasant St Ste 103, Burlington, IA 52601-2002 | 2018-05-16 |
| 1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
| 1952846321 | Swfac Plc | Podiatrist | 631 N. 8th St., Missouri Valley, IA 51555 | 2016-12-21 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1578946018 | Donald Godfree Jr. | Podiatrist | 3600 30th St Dept Of, Des Moines, IA 50310-5753 | 2015-07-01 |
| 1811303480 | Jennifer Lee Hall | Podiatrist | 5950 University Ave Ste 160, West Des Moines, IA 50266 | 2014-07-03 |
| 1760894323 | Drew Michael Davidson | Podiatrist | 255 Sw Brookside Dr, Ste 200, Grimes, IA 50111-5244 | 2014-05-29 |
| 1609201227 | Patricia A Russo | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX CITY |
| Zip Code | 51101 |
Please comment or provide details below to improve the information on RANDALL P. BERGEN.
| 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.