| Dr Tad S Bergen, AUD | |
|
165 N University Ave, Farmington, UT 84025-2990 | |
| (801) 213-6669 | |
| Not Available |
| Full Name | Dr Tad S Bergen |
|---|---|
| Gender | Male |
| Speciality | Audiologist |
| Location | 165 N University Ave, Farmington, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508177635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (NU) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | (NU) | Secondary |
| Provider Name | Auralcare Hearing Centers of America LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366717811 PECOS PAC ID: 4789814971 Enrollment ID: O20140310000684 |
| Provider Name | University of Utah Adult Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tad S Bergen, AUD 165 N University Ave, Farmington, UT 84025-2990 Ph: (385) 300-9898 | Dr Tad S Bergen, AUD 165 N University Ave, Farmington, UT 84025-2990 Ph: (801) 213-6669 |
Caroline Clark Bjarnason, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1401 N 1075 W, Suite 230, Farmington, UT 84025 Phone: 801-447-9456 Fax: 801-447-9458 |
Davis School District Audiologist Medicare: Not Enrolled in Medicare Practice Location: 45 E State St, Farmington, UT 84025 Phone: 801-402-5258 Fax: 801-402-5276 |
Integrity Hearing And Balance Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1401 N 1075 W, Suite 230, Farmington, UT 84025 Phone: 801-447-9456 Fax: 801-447-9458 |