Chad M Bergan, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1329 Issued in ND

Practice address

214 4TH St NW
Steele, ND 58482-7329

Phone

(701) 202-3280

Fax

(701) 475-2022

NPI assigned

Mar 30, 2006

Last updated

Dec 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dakota Physical Therapy P CGroup PAC ID 6002803566, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dakota Physical Therapy P C

  • Physical Therapy Clinic/Center
  • Mandan, ND
  • NPI 1740211267
  Medicare reassignment Care Compare group Authorized official
• Dakota Physical Therapy, P C

  • Physical Therapy Clinic/Center
  • Steele, ND
  • NPI 1326285842

  Physical Therapist

  NPD Authorized official
• Dakota Physical Therapy, P C

  • Physical Therapy Clinic/Center
  • Bismarck, ND
  • NPI 1588797922
  NPD (past) Authorized official
• Applied Medical, Inc

  • Occupational Therapist
  • Bismarck, ND
  • NPI 1881665768

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1083675987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 1ST ST NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543121",
            "telephone_number": "701-667-0745",
            "fax_number": "701-667-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 4TH ST NW",
            "city": "STEELE",
            "state": "ND",
            "postal_code": "584827329",
            "telephone_number": "701-202-3280",
            "fax_number": "701-475-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Century Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "58503",
            "country_code": "US",
            "telephone_number": "701-355-1294",
            "fax_number": "701-323-7046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 1st St NW",
            "address_purpose": "LOCATION",
            "city": "Mandan",
            "state": "ND",
            "postal_code": "585543121",
            "country_code": "US",
            "telephone_number": "701-667-0745",
            "fax_number": "701-667-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGAN",
        "first_name": "CHAD",
        "middle_name": "M",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK FORCE SAFETY",
            "identifier": "030477097",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475369",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "650024893",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "030477097",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54130",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Baumgartner
• Dakota Physical Therapy, P C
• Erin Lynn Dewitz, DNP
• Four Seasons Wellness, PLLC
• Golden Manor Inc
• Kidder County Ambulance Service Inc (Kidder County Ambulance)

• Physical Therapist in Steele, ND
• Providers in Steele, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.