Madison Lynn Bergstrom, DH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3222 Issued in NE

Practice address

516 W 11TH St Ste 108B
Kearney, NE 68845-7310

Phone

(308) 233-3100

NPI assigned

Aug 3, 2023

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Two Rivers Public Health Department

  • State or Local Public Health Clinic/Center
  • Holdrege, NE
  • NPI 1881041390
  NPD (past)

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1275215774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 YATES AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591548",
            "telephone_number": "308-293-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 11TH ST STE 108B",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457310",
            "telephone_number": "308-233-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTROM",
        "first_name": "MADISON",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "DH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NE",
            "license": "3222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jensyn E Beranek, PA
• Kaitlyn Beranek, P.A.
• Madison Rae Berg
• Maggie M Berglund, PLMHP
• Megan Bergquist
• Michelle Berry, RN
• Wade Berry
• Bethesda Foundation
• Brenda R Bierbower, PLMHP
• Patrick L Bierbower, OD

• Dental Hygienist in Kearney, NE
• Providers in Kearney, NE by specialty
• Dental Hygienist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.