NPI 1073527974 · live from the CMS NPI Registry
Jeffrey O Bergsbaken, MD
Anesthesiology in Watertown, SD. National Provider Identifier 1073527974, active.
NPI record
| NPI | 1073527974 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 401 9th Ave Nw, Watertown, SD 57201 |
| Practice phone | 605-882-7000 |
| Enumerated | July 28, 2006 |
| Last updated | January 20, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 4686 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.