Audrey Bergeson MD PLLC
Emergency Medicine in Price, UT. Organization (NPI-2).
NPI number1639710569
StatusActive
Last updated in NPPESOct 2, 2019
Details
- NPI
- 1639710569
- Entity type
- Organization (NPI-2)
- Legal business name
- Audrey Bergeson MD PLLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2019
- Last updated
- Oct 2, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
Practice location
300 N Hospital DrPrice, UT 84501-4218
Phone 330-903-3294
Mailing address
2102 E Dimple Dell RdSandy, UT 84092-4827
Phone 330-903-3294
Authorized official
Audrey Bergeson
Owner
3309033294
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