Richard T Bergstrom, M.D.
Otolaryngology in Redding, CA. Individual provider (NPI-1).
NPI number1679557367
StatusActive
Last updated in NPPESSep 5, 2012
Details
- NPI
- 1679557367
- Entity type
- Individual (NPI-1)
- Name
- Richard T Bergstrom
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2005
- Last updated
- Sep 5, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OTOLARYNGOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | A80467 | CA | Yes |
Practice location
3305 Placer StSte A
Redding, CA 96001-2364
Phone 530-243-3687 · Fax 530-243-3383
Mailing address
3305 Placer StSte A
Redding, CA 96001-2364
Phone 530-243-3687 · Fax 530-243-3383
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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