DR. JOSEPH ELI BERGEN (NPI# 1922611961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922611961 |
Entity Type | Individual |
Full Name | DR. JOSEPH ELI BERGEN |
Credential | RPH |
Practice Address |
555 Foothill Dr Salt Lake City UT 84112-1106 |
Mailing Address |
2043 N 1100 E Lehi UT 84043-3063 |
Practice Telephone | 8015817652 |
Practice Fax Number | 8015815264 |
Mailing Telephone | 8019220958 |
Enumeration Date | 2020-08-28 |
Last Update Date | 2020-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
6358877-1701 | UT | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780101626 | Joseph T Bergen | Physical Therapist | 355 E. Erie St., Chicago, IL 60611-2654 | 2017-08-22 |
1518921972 | Joseph M Bergen | Emergency Medicine | 133 Old Road To 9 Acre Cor, E.d., Concord, MA 01742-4159 | 2006-04-13 |
Street Address |
555 FOOTHILL DR |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84112-1106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801887757 | Vicky Y. Digregorio | Pharmacist | 555 Foothill Dr, Madsen Health Center, Internal Medicine, Salt Lake City, UT 84112-1106 | 2005-10-31 |
1699382986 | University of Utah Behavioral Health Services | Social Worker | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2020-09-30 |
1346872017 | Sharee Thompson | Dietitian, Registered | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2020-02-10 |
1285275222 | Deanna Marszalek | Psychologist | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2019-10-01 |
1326695990 | Emogene Elizabeth Dunn | Social Worker | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2019-08-19 |
1558925149 | Vanessa Browning | Dietitian, Registered | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2019-04-29 |
1669935524 | Mauli R. Dalal | Family Medicine | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2019-04-08 |
1316409097 | Joseph J. Novak | Family Medicine | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2019-04-02 |
1033616602 | Sherilyn M Destefano | Family Medicine | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2018-04-10 |
1235651506 | Erin Marie Close | Nurse Practitioner | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2017-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
Find all providers in zip 84112 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861092249 | William Albert Jones | Pharmacist | 6173 S Haven Moor Cir, Salt Lake City, UT 84121-6525 | 2020-10-27 |
1639795198 | Jennifer Babin | Pharmacist | 30 S 2000 E Rm 4779, Salt Lake City, UT 84112-5820 | 2020-06-21 |
1225571482 | Mohamed Sallout | Pharmacist | Va Salt Lake City Mail Code 110 Poc, 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2016-11-21 |
1720410624 | Brianne Marie Wolfe | Pharmacist | 2641 E Stringham Ave Apt 301c, Salt Lake City, UT 84109-3984 | 2013-08-01 |
1477789022 | Angela Kristine Flint | Pharmacist | George E Wahlen Veterans Affiars Medical Ctr, 500 Foothill Drive - 119, Salt Lake City, UT 84148-0001 | 2009-06-09 |
1902407240 | David Andrew Feolo | Pharmacist | 845 E 4500 S, Salt Lake City, UT 84107-3049 | 2020-11-03 |
1376150953 | Annette Sprankle | Pharmacist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-09-28 |
1790305795 | Reham Simon Khoury | Pharmacist | 922 E 2100 S, Salt Lake City, UT 84106-2364 | 2020-04-20 |
1851942080 | Claire Jean Benvegu | Pharmacist | 455 S 500 E, Salt Lake City, UT 84102-2753 | 2019-09-29 |
1851945091 | Hannah Rebecca Fudin | Pharmacist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2019-07-25 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84112 |
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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.