Active NPI
Carl E. Bergsagel, MS
- Radiological Physics Physician
- Seattle, WA
National Provider Identifier
1225121973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiological Physics Physician
- License
- N/A
- Practice address
- 1660 S. Columbian Way
Seattle, WA 98108 - Phone
- (206) 768-5333
- Fax
- (206) 768-5331
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiological Physics Physician | 2085R0205X | N/A | WA | Primary |
Addresses
Primary practice location
1660 S. Columbian Way
Seattle, WA 98108
Mailing address
15111 12TH Dr SE
Mill Creek, WA 98012
Phone (206) 768-5333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | WA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225121973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15111 12TH DR SE",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "98012",
"telephone_number": "206-768-5333",
"fax_number": "206-768-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S. COLUMBIAN WAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98108",
"telephone_number": "206-768-5333",
"fax_number": "206-768-5331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGSAGEL",
"first_name": "CARL",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "WA",
"license": "N/A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.