Paul E Bergquist, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30274 Issued in WI

Practice address

407 S Main St
Suite 400
Viroqua, WI 54665-2057

Phone

(608) 637-4230

Fax

(608) 637-4214

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbergquist8517@direct.gundersenhealth.org

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.

• Vernon Memorial Healthcare, Inc

  • Rural Health Clinic/Center
  • Viroqua, WI
  • NPI 1144226507

  WI

  Medicare reassignment NPD
• Vernon Memorial Healthcare, Inc.

  • Critical Access Hospital
  • Viroqua, WI
  • NPI 1497750921
  NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1497798938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S MAIN ST",
            "address_2": "SUITE 400",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652057",
            "telephone_number": "608-637-4230",
            "fax_number": "608-637-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S MAIN ST",
            "address_2": "SUITE 400",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652057",
            "telephone_number": "608-637-4230",
            "fax_number": "608-637-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGQUIST",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "30274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Barendregt, MNT
• April Michelle Bartelt, PTA
• Rachel M Bassett, MD
• William Logan Bender, M.D.
• Kylie Elizabeth Berger, NP
• Rita Gould Berkley, MAET , ATR, DT
• Bethel Home and Services, Inc.
• John Arlen Bjerke, DC
• Jenelle Boyer, OTR/L, CLT
• Yvonne M Brault, MD

• All providers in Viroqua, WI
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.