Lucas Charles Bergstrom

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4585 Slater Rd Apt 301
Eagan, MN 55122-3343

Phone

(651) 395-0926

NPI assigned

Jun 2, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1205729688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 SLATER RD APT 301",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223343",
            "telephone_number": "651-395-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 SLATER RD APT 301",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223343",
            "telephone_number": "651-395-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTROM",
        "first_name": "LUCAS",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Frericks Bennett, PA-C
• Kaibeh Benson
• Rebecca Bell Benson, PA-C
• Joseph Beran
• Robert Daniel Berger, LP
• Xochitl Elia Bergthold
• Paige Berland, MA, LPCC, BCBA
• Best Choice Medical Supply Inc.
• Better Health Chiropractic LLC
• James Charles Betz IV, DDS

• Behavior Technician in Eagan, MN
• Providers in Eagan, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.