Steven C Bergeson, MD
Individual provider Active NPI Family Medicine Physician · Shoreview, MN
NPI 1497711949 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1497711949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 26195 (MN)
- Practice address
- 4194 Lexington Ave N
Shoreview, MN 55126-6106 - Phone
- (651) 483-5461
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26195 | MN | MD | Family Medicine Physician |
Interoperability endpoints
- sbergeson10567@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26195 | MN | Yes |
Addresses
Primary practice location
4194 Lexington Ave N
Shoreview, MN 55126-6106
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbergeson10567@excellian.direct.allina.com | Direct |
Other providers in Shoreview, MN
- Bill Bedford
- Behavioral Resources
- Cheryl Ann Bell
- Sherry Berde
- Naomi L. Berends
- Douglas Paul Binder
- Erin Fisher Blackford
- Justin Kyle Blood
- Courtney Boland
- Jeffrey Bonsell
All providers in Shoreview, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.