Individual provider Active NPI

Laurie Ann Bergstrom, MD

  • Rheumatology Physician
  • Tucson, AZ
National Provider Identifier
1972694123
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
AZ29014 Issued in AZ
Practice address
7520 N Oracle Rd Suite 100
Catalina Pointe Arthritis & Rheumatology Specialist, PC
Tucson, AZ 85704
Phone
(520) 408-1133
Fax
(520) 408-2233
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X AZ29014 AZ Primary

Addresses

Primary practice location

7520 N Oracle Rd Suite 100
Catalina Pointe Arthritis & Rheumatology Specialist, PC
Tucson, AZ 85704

Mailing address

7520 N Oracle Rd Suite 100
Catalina Pointe Arthritis & Rheumatology Specialist, PC
Tucson, AZ 85704
Phone (520) 408-1133

Other identifiers 2

IdentifierTypeStateIssuer
AZ077488OtherAZBCBS
846454MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20040430001342 AZ Practitioner - RheumatologyPractitioner - Internal Medicine 7214925148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Arizona College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7520 N Oracle Rd
Suite 100
Tucson, AZ 85704-4452
Phone (520) 408-1133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AZ29014AZMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catalina Pointe Arthritis & Rheumatology Specialists, PC CurrentSince Jul 1, 2005 Accepting new patients

Locations

7520 N Oracle Rd
Ste 100
Tucson, AZ 85704
Phone (520) 408-1133

5501 N Oracle Rd
Ste 161
Tucson, AZ 85704
Phone (520) 408-1133

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGAAA

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1972694123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 N ORACLE RD SUITE 100",
            "address_2": "CATALINA POINTE ARTHRITIS & RHEUMATOLOGY SPECIALIST, PC",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-408-1133",
            "fax_number": "520-408-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 N ORACLE RD SUITE 100",
            "address_2": "CATALINA POINTE ARTHRITIS & RHEUMATOLOGY SPECIALIST, PC",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-408-1133",
            "fax_number": "520-408-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTROM",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "AZ29014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ077488",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "846454",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.