Jill Bergeson Barkdull, M.D.
Individual provider Active NPI Family Medicine Physician · Pleasant Grove, UT
NPI 1043466899 · NPPES record last updated May 10, 2013
Key facts
- NPI
- 1043466899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 57647571205 (UT)
- Practice address
- 830 N 2000 W
Pleasant Grove, UT 84062-4047 - Phone
- (801) 756-1705
- Fax
- (801) 443-1164
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Maryland School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Family Medical
Practice addresses (Care Compare)
226 N 1100
American Fork, UT 84003-2054
Phone (801) 855-3841
275 W 200
Lindon, UT 84042-5009
Phone (801) 796-1333
830 N 2000
Pleasant Grove, UT 84062-4047
Phone (801) 756-3511
Hospital & facility affiliations
- Enhabit Hospice
- Timpanogos Regional Hospital
- American Fork Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120613000340 | UT | Practitioner - Family Practice | 0244392504 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57647571205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Medical - City Center | Family Medicine | Current |
Accepting new patients |
| Premier Family Medical - Lindon Physical Therapy | Current |
Accepting new patients | |
| Premier Family Medical - American Fork Physical Therapy | Past |
Accepting new patients | |
| Premier Family Medical - Lindon | Family Medicine | Past |
Accepting new patients |
| Premier Family Medical - Vineyard | Family Medicine | Past |
Accepting new patients |
| Premier Family Medical - Saratoga Springs | Family Medicine | Past |
Accepting new patients |
| Premier Family Medical - Lehi | Family Medicine | Past |
Accepting new patients |
Locations
226 N 1100 E
American Fork, UT 84003
Phone (801) 855-3840
3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 443-1184
3000 N Triumph Blvd
Ste 220
Lehi, UT 84043
Phone (801) 642-2990
680 E Main St
Lehi, UT 84043
Phone (801) 766-0606
275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333
830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511
1528 N Commerce Dr
Ste 204
Saratoga Springs, UT 84045
707 E Mill Rd
Ste 303
Vineyard, UT 84059
Phone (801) 224-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 57647571205 | UT | Yes |
Addresses
Primary practice location
830 N 2000 W
Pleasant Grove, UT 84062-4047
Mailing address
830 N 2000 W
Pleasant Grove, UT 84062-4047
Phone (801) 756-3511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171564 | Other | UT | PEHP |
| 870293878 | Other | UT | EMI HEALTH |
| 107107195101 | Other | UT | SELECT HEALTH |
| 1043466899 | Other | UT | ALTIUS |
| 1043466899 | Other | UT | TRICARE |
| 1043466899 | Medicaid | UT | |
| 1126140 | Other | UT | DESERET HEALTHCARE TRUST |
Other providers in Pleasant Grove, UT
- Beehive Homes of Pleasant Grove North
- John Beenfield
- Natasha K. Bell
- Carla Belliard
- Sydney L Benson
- Chelsea Anne Best
- Beyond the V Physical Therapy
- Shyler Bischof
- Dianne Gwen Bjarnson
- Ashton Black
All providers in Pleasant Grove, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.