Harlan Bergum, NBCHWC
Individual provider Active NPI Health & Wellness Coach · Tomah, WI
NPI 1679615769 · NPPES record last updated Jun 17, 2024
Key facts
- NPI
- 1679615769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- License
- A-3273815
- Practice address
- 500 E Veterans St
Tomah, WI 54660-3105 - Phone
- (608) 372-3971
- NPI assigned
- Feb 13, 2007
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Health Educator | 174H00000X | |||
| Health & Wellness Coach | 171400000X | A-3273815 | Yes |
Addresses
Primary practice location
500 E Veterans St
Tomah, WI 54660-3105
Mailing address
405 S Rusk Ave Apt 1
Viroqua, WI 54665-2019
Phone (815) 900-1580
Other practice location 1
405 S Rusk Ave Apt 1
Viroqua, WI 54665-2019
Phone (815) 900-1580
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Harlan.Bergum@va.gov | Direct | VETERANS ADMINISTRATION |
Other providers in Tomah, WI
- Odalys Marie Beltran Torres
- Elizabeth CK Bender
- Allen L Benrud
- Hillary Benson
- Jasmine Benson
- John Frederick Berry
- Laura Edie Betthauser
- Leanne V Beyer
- Sarah Black
- Carolyn Rae Blackdeer
All providers in Tomah, WI · Health & Wellness Coach in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2024. 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.