Organization Active NPI

Degen Berglund Inc

  • Oxygen Equipment & Supplies (DME)
  • La Crosse, WI
National Provider Identifier
1437104064
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
DEGEN BERGLUND INC
Doing business as
DEGEN BERGLUND SHELBY
Practice address
4000 Mormon Coulee Rd
La Crosse, WI 54601-7902
Phone
(608) 775-8500
Fax
(608) 775-8555
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Mr. Jon Bingol
Title
Director
Phone
(608) 775-8500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

4000 Mormon Coulee Rd
La Crosse, WI 54601-7902

Mailing address

4000 Mormon Coulee Rd
La Crosse, WI 54601-7902
Phone (608) 775-8500

Other identifiers 3

IdentifierTypeStateIssuer
41704200MedicaidWI
940215200MedicaidMN
0764092MedicaidIA

Other names 1

  • DEGEN BERGLUND SHELBY Doing business as

National Provider Directory

National Provider Directory

Locations

1609 Losey Blvd S
La Crosse, WI 54601
Phone (608) 775-8585

4000 Mormon Coulee Rd
La Crosse, WI 54601
Phone (608) 775-8500

111 Sand Lake Rd
Onalaska, WI 54650
Phone (608) 775-8582

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1437104064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MORMON COULEE RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017902",
            "telephone_number": "608-775-8500",
            "fax_number": "608-775-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MORMON COULEE RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017902",
            "telephone_number": "608-775-8500",
            "fax_number": "608-775-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGEN BERGLUND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "BINGOL",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-775-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41704200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "940215200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0764092",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEGEN BERGLUND SHELBY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.