TYLER BERGSTROM (NPI# 1619276334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619276334 |
| Entity Type | Individual |
| Full Name | TYLER BERGSTROM |
| Practice Address |
2820 Mount Rushmore Rd Rapid City SD 57701-5462 |
| Mailing Address |
Po Box 6020 Rapid City SD 57709-6020 |
| Practice Telephone | 6053423280 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 9906 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
2820 MOUNT RUSHMORE RD |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-5462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053545 | Rapid City Medical Center, LLP | General Practice | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2005-06-15 |
| 1972104545 | Meghan Epp | Nurse Practitioner | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2020-11-02 |
| 1073123071 | Ashley Lynne Vermeulen | Nurse Practitioner | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2020-08-04 |
| 1972129757 | Ashley Lynn Wagner | Nurse Practitioner | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5474 | 2020-06-17 |
| 1225669211 | Emily Beth Baertsch | Nurse Practitioner | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2020-01-29 |
| 1871139113 | Kim Marshall | Nurse Practitioner | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2019-11-21 |
| 1740740703 | Kristin Rokusek | Nurse Practitioner | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5474 | 2019-03-24 |
| 1700398492 | Leslie Suzanne Moss | Nurse Practitioner | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2017-11-02 |
| 1851815385 | Megan Zoanne Collier | Nurse Practitioner | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2017-07-26 |
| 1205369105 | Luke Joseph Hushagen | Internal Medicine | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2017-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568733798 | Patrick Malachy Mcguigan | Surgery | 4102 Carriage Hills Drive, Rapid City, SD 57702-6868 | 2012-01-19 |
| 1184852782 | James H Oury Md Medical Corporation | Surgery | 607 1/2 Mount Rushmore Rd Ste 112, Rapid City, SD 57701-2782 | 2009-06-23 |
| 1265669956 | Tiffany Ann Frederickson | Surgery | 8412 Kitt Peak Rd, Rapid City, SD 57702-9512 | 2009-06-19 |
| 1043309891 | Wesley L Sufficool | Surgery | 904 Quincy St, Suite 2, Rapid City, SD 57701-2608 | 2006-10-12 |
| 1477544930 | Shannon Alexandria Williams | Surgery | 22805 5th St, Rapid City, SD 57701 | 2005-11-03 |
| 1417304924 | Black Hills Surgical Hospital, LLP | Surgery | 1868 Lombardy Dr, Rapid City, SD 57703-4130 | 2016-05-16 |
| 1124410584 | Surgical Solutions Professional Limited Liability Company | Surgery | 904 Quincy St, Suite 2, Rapid City, SD 57701-2608 | 2015-02-23 |
| 1639478290 | Irony Cuervo Del Norte Sade | Surgery | 2805 5th St, Rapid City, SD 57701-6003 | 2011-03-22 |
| 1134448129 | Matthew Julian Wideroff | Surgery | 2805 5th St, Rapid City, SD 57701 | 2010-05-31 |
| 1295962033 | Health Concepts Wellness Care LLC | Surgery | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2009-06-19 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
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| 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.