DR. MARIETTA BERGDORF (NPI# 1912185034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912185034 |
| Entity Type | Individual |
| Full Name | DR. MARIETTA BERGDORF |
| Practice Address |
469 Medical Dr Ste 100 Bountiful UT 84010-4900 |
| Practice Telephone | 8013972273 |
| Practice Fax Number | 8012944090 |
| Mailing Telephone | 8013972273 |
| Mailing Fax Number | 8012944090 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 4763999-7100 | UT | Other Service Providers |
| Street Address |
469 MEDICAL DR STE 100 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407925225 | Dale Ray Linton | Dentist | 469 Medical Dr, Suite 200, Bountiful, UT 84010-4900 | 2006-11-07 |
| 1205098324 | Todd C. Liston Dds, Ms, PC | Dentist | 469 Medical Dr, Suite 202, Bountiful, UT 84010-4900 | 2008-06-30 |
| 1871624403 | Blake N Brog | Dentist | 469 Medical Dr, Bountiful, UT 84010-4900 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043649494 | Jacob Schmutz | Naturopath | 2702 Wood Hollow Way, Bountiful, UT 84010-1230 | 2013-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437548 | Cordell E Logan | Naturopath | 126 W 12300 S Ste C, Draper, UT 84020-9801 | 2020-11-03 |
| 1043789712 | Gregory Rich | Naturopath | 2241 E 11660 S, Sandy, UT 84092-5605 | 2018-11-24 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1891246922 | Daniel B Reed | Naturopath | 1817 S Main St Ste 13, Salt Lake City, UT 84115-7051 | 2016-10-24 |
| 1558751438 | Naturopathic Medical, P.C. | Naturopath | 565 W. 465 N., Suite 150, Providence, UT 84332 | 2015-01-29 |
| 1013328830 | Shawn Postma | Naturopath | 6360 S 3000 E Ste 325, Cottonwood Heights, UT 84121-6932 | 2014-05-14 |
| 1023455920 | Eric Ohling | Naturopath | 545 W 465 N Ste 140, Providence, UT 84332-8005 | 2013-05-31 |
| 1497039036 | Katie Lynne Brussard | Naturopath | 2091 E 1300 S Ste 104, Salt Lake City, UT 84108-2277 | 2011-09-30 |
| 1487953931 | B. Peterson Consulting LLC | Naturopath | 1515 N 400 E Ste 106, Logan, UT 84341-7595 | 2011-03-23 |
| Find all providers with the same taxonomy | ||||
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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.