James Robert Bergeson, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

112032 Issued in MN

Practice address

117 Front Street South
Barnesville, MN 56514

Phone

(218) 354-2131

Fax

(218) 354-2352

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

No

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

• Barnesville Drug & Hardware Inc

  • Pharmacy
  • Barnesville, MN
  • NPI 1730147992
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346444262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 11TH ST SE",
            "city": "BARNESVILLE",
            "state": "MN",
            "postal_code": "565143720",
            "telephone_number": "218-354-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FRONT STREET SOUTH",
            "city": "BARNESVILLE",
            "state": "MN",
            "postal_code": "56514",
            "telephone_number": "218-354-2131",
            "fax_number": "218-354-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGESON",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "112032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Marie Anderson
• Barnesville Chiropractic Clinic Inc.
• Barnesville Drug & Hardware Inc
• City of Barnesville
• Clay & Wilkin Counties
• Jane Decrans, LMT
• Sunnah Doesken
• Dr R Allan Rostad DDS PA

• All providers in Barnesville, MN
• Pharmacist in Minnesota

• 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.

Verify at the official NPI Registry.