Lance K Bergstrom MD, PC
NPI 1801819826ActiveOrganization· Specialist· Fargo, ND
Specialist in Fargo, North Dakota, registered in NPPES in July 2006. The authorized official on file is Lance Bergstrom, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1801819826 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2006 |
| Last updated in NPPES | Jul 22, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 7230 | ND |
| Optometrist | 152W00000X | 545 | ND |
| Optometrist | 152W00000X | 2581 | MN |
| Specialist | 174400000X | 38105 | MN |
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 (MN); Part B Supplier - Clinic/Group Practice (ND) |
|---|
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