DR. LARS BERGESON (M.D.) – Family Medicine Physician, NPI 1497721195

DR. LARS BERGESON (M.D.) is a healthcare provider. based in Providence, Utah. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 170371-1205 (UT). The NPI Number for DR. LARS BERGESON (M.D.) is 1497721195

Main info

Male
Name
DR. LARS BERGESON (M.D.)
NPI
1497721195
Phone
(435) 752-0330
Address
PO BOX 609
Enumeration Date
23 February 2006
Last Update Date
9 November 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LARS BERGESON (M.D.)

  • PO BOX 609

    PROVIDENCE, UT 843320609

    Phone: (435) 752-0330

    Fax: (435) 755-0922

    Type: Mailing

  • 382, 280 North, Providence, Cache County, Utah, 84332, United States

    PROVIDENCE, UT 843329707

    Phone: (435) 752-0330

    Fax: (435) 755-0922

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84332)

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Reviews

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Frequently asked questions

What number should I use to identify DR. LARS BERGESON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1497721195 for DR. LARS BERGESON (M.D.).
Should I treat DR. LARS BERGESON (M.D.) as an active provider?
Patients and plans typically see DR. LARS BERGESON (M.D.) as active in the national extract.
What services align with DR. LARS BERGESON (M.D.)'s listing?
DR. LARS BERGESON (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. LARS BERGESON (M.D.)?
The directory associates DR. LARS BERGESON (M.D.) with Providence, Utah. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. LARS BERGESON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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