NPI 1508177635 · live from the CMS NPI Registry
Tad S. Bergen, AuD.
Audiologist in Farmington, UT. National Provider Identifier 1508177635, active.
NPI record
| NPI | 1508177635 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 165 N University Ave, Farmington, UT 84025 |
| Practice phone | 801-213-6669 |
| Enumerated | June 23, 2010 |
| Last updated | December 29, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | — |
| Audiologist primary | 231H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.