Active NPI
Jacob Chester Bergelin, PARAMEDIC
- Paramedic
- Bloomington, IL
National Provider Identifier
1811809379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 060829595
- Practice address
- 1101 E Emerson St
Bloomington, IL 61701-1913 - Phone
- (309) 826-9365
- NPI assigned
- Sep 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 060829595 | IL | Primary |
Addresses
Primary practice location
1101 E Emerson St
Bloomington, IL 61701-1913
Mailing address
1101 E Emerson St
Bloomington, IL 61701-1913
Phone (309) 826-9365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1811809379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E EMERSON ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011913",
"telephone_number": "309-826-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 E EMERSON ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011913",
"telephone_number": "309-826-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGELIN",
"first_name": "JACOB",
"middle_name": "CHESTER",
"credential": "PARAMEDIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "IL",
"license": "060829595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.