DR. TAD S. BERGEN (NPI# 1508177635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508177635 |
| Entity Type | Individual |
| Full Name | DR. TAD S. BERGEN |
| Credential | AUD. |
| Practice Address |
370 E South Temple Ste 150 Salt Lake City UT 84111-1279 |
| Practice Telephone | 8013648692 |
| Mailing Telephone | 8013648692 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2011-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers |
| Street Address |
370 E SOUTH TEMPLE STE 150 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-1279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475704 | Chalise Vandermyde | Massage Therapist | 370 E South Temple Ste 150, Salt Lake City, UT 84111-1279 | 2019-12-31 |
| 1356737902 | Sarah Johncock | Physical Therapist | 370 E South Temple Ste 150, Salt Lake City, UT 84111 | 2015-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582719 | Sadie Schilaty | Audiologist | 50 N. Medical Drive, Clinic 9, Salt Lake City, UT 84132-0001 | 2018-06-14 |
| 1255852323 | Fiona Hayes | Audiologist | 1255 E 3900 S Ste 301, Salt Lake City, UT 84124-1417 | 2017-06-29 |
| 1982135984 | University of Utah Adult Services | Audiologist | 417 S Wakara Way, 1112, Salt Lake City, UT 84108-1436 | 2017-03-22 |
| 1285089623 | Karen Steurer | Audiologist | Audiology Clinic 9, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2016-05-03 |
| 1053609370 | Joshua C Luekenga | Audiologist | 1255 E 3900 S Ste 106c, Salt Lake City, UT 84124-1389 | 2011-07-20 |
| 1972806651 | Leanne M. Norman | Audiologist | 6165 W Pine Valley Ln, Salt Lake City, UT 84118-9340 | 2010-12-17 |
| 1528214087 | Mary Lou Reitz | Audiologist | 560 D St, Salt Lake City, UT 84103-2808 | 2008-08-14 |
| 1497912190 | Jenny Ann Pedersen | Audiologist | 44 N. Mario Capecchi Dr., Salt Lake City, UT 84114 | 2008-05-20 |
| 1427223668 | John Ralph Pater | Audiologist | 2964 W 4700 S, Salt Lake City, UT 84129-2557 | 2008-04-29 |
| 1093907693 | Rocky Mountain Hearing & Balance | Audiologist | 5872 S 900 E Ste 175, Salt Lake City, UT 84121 | 2007-08-16 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on DR. TAD S. BERGEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.