Interventional Orthopedic Solutions-Rochester, PLLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

INTERVENTIONAL ORTHOPEDIC SOLUTIONS-ROCHESTER, PLLC

Doing business as

IOS-Rochester
Interventional Orthopedic Solutions - Rochester, PLLC

Practice address

2560 2ND St SW
Suite 120
Rochester, MN 55902-4432

Phone

(507) 361-0400

Fax

(866) 371-6710

NPI assigned

Feb 11, 2022

Last updated

May 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell A Bergum, DONPI 1669400024

Title

Owner

Phone

(507) 251-5870

Specialties & licenses 1

Addresses

Other names 2

• IOS-Rochester Doing business as
• Interventional Orthopedic Solutions - Rochester, PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Alan Bergum, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Rochester, MN
  • NPI 1669400024
  NPD Authorized official

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1457005084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5287 SCENIC VIEW DR SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55902",
            "telephone_number": "507-721-9758",
            "fax_number": "866-371-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 2ND ST SW",
            "address_2": "SUITE 120",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024432",
            "telephone_number": "507-361-0400",
            "fax_number": "866-371-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL ORTHOPEDIC SOLUTIONS-ROCHESTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "BERGUM",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-251-5870",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IOS-Rochester",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interventional Orthopedic Solutions - Rochester, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sports Medicine (Family Medicine) Physician in Rochester, MN
• Providers in Rochester, MN by specialty
• Sports Medicine (Family Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.