Gail Pilch Bergeson, BA
Individual provider Active NPI Community Health Worker · Baraboo, WI
NPI 1033438619 · NPPES record last updated May 22, 2010
Key facts
- NPI
- 1033438619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 708 Elizabeth St
Baraboo, WI 53913-2372 - Phone
- (608) 477-9858
- Fax
- (608) 742-3636
- NPI assigned
- May 22, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
708 Elizabeth St
Baraboo, WI 53913-2372
Mailing address
708 Elizabeth St
Baraboo, WI 53913-2372
Phone (608) 477-9858
Other providers in Baraboo, WI
- Terry James Baxter
- Kirstan Carroll Beatty
- Kiana L Beaudin
- Daniel J Beaver
- Ellen Marie Bergendahl
- Rosalee Anne Bertram
- Sarah Rose Beuthin
- Bio-Medical Applications of Wisconsin, Inc.
- Tiffany F Birrenkott
- Bradley J Bjorklund
All providers in Baraboo, WI · Community Health Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.