Colorado Springs Radiologists PC
NPI 1629168406ActiveOrganization· Radiology, Diagnostic Radiology· Colorado Springs, CO
Radiology, Diagnostic Radiology in Colorado Springs, Colorado, registered in NPPES in October 2006. The authorized official on file is Derek Scott Bergeson, MD, Radiologist. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1629168406 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2006 |
| Last updated in NPPES | Nov 3, 2020 |
| Certified by provider | Nov 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (WA) |
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