DR. JOSEPH ELI BERGEN


Address: 555 Foothill Dr, Salt Lake City, UT 84112-1106
Phone: 8015817652

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).

Provider Overview

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

Taxonomy

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

Other Providers JOSEPH BERGEN

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

Office Location

Street Address 555 FOOTHILL DR
City SALT LAKE CITY
State UT
Zip Code 84112-1106

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SALT LAKE CITY
Zip Code 84112

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Dataset Information

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.

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