Ryan K Bergeson MD PA

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

537055 Issued in TX

Legal business name

RYAN K BERGESON MD PA

Practice address

1904 Railroad St
Georgetown, TX 78626-7718

Phone

(512) 863-4563

Fax

(512) 869-5899

NPI assigned

May 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan K Bergeson, M.D.

Title

President

Phone

(512) 863-4563

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1881828986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 RAILROAD ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267718",
            "telephone_number": "512-863-4563",
            "fax_number": "512-869-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 RAILROAD ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267718",
            "telephone_number": "512-863-4563",
            "fax_number": "512-869-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN K BERGESON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "BERGESON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-863-4563",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "537055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gia Giambelluca Ruppert, RN, CPW
• Bonnie Russell
• Joan Colleen Russell, LPC
• Kathryn Russell
• Scott Anthony Russell, MD
• Paula Grigar Rychlik, PHARM.D.
• Suja Maria Sabastin, M.D.
• Mohammed Hassan Sabbagh, MD
• Rachel Saenger, MA
• Gilberto Saenz III, PHYSICIAN ASSISTANT

• Orthopaedic Surgery of the Spine Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.