Randall P. Bergen, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00319 Issued in IA

Practice address

505 5TH St
Suite 714
Sioux City, IA 51101-1500

Phone

(712) 255-3526

Fax

(712) 255-0298

NPI assigned

Feb 17, 2006

Last updated

May 14, 2008By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Randall P Bergen DPM PC

  • Podiatric Clinic/Center
  • Sioux City, IA
  • NPI 1285891432
  Authorized official Same address or phone

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1861466583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 5TH ST STE 714",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011509",
            "telephone_number": "712-255-3526",
            "fax_number": "712-255-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 5TH ST",
            "address_2": "SUITE 714",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011500",
            "telephone_number": "712-255-3526",
            "fax_number": "712-255-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEN",
        "first_name": "RANDALL",
        "middle_name": "P.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Rae Bennett, PA-C
• Martha Bennett, AU.D.
• Pama L Bennett, SLP
• Bradley Benson, DVM
• Thomas Eugene Benzoni, DO
• Alison Marie Berger, NP-C
• Bridget Berger, CRNA
• Kathleen A Berger, CRNA
• Robert J Berger, CRNA
• Bradley J Bergeson, MED, LMHP, LADC

• Podiatrist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.