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Deactivated NPI 1902891419 Deactivated / Inactive NPI Male Practitioner

Dr. John E Bergstedt , MD

Ophthalmology • Bloomington, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Bergstedt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 12, 2005
NPI Deactivation Date July 15, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. John Bergstedt, MD was a registered Ophthalmology practicing in Bloomington, MN. Throughout an active medical career spanning 14 years, Dr. Bergstedt provided care at the practice location at 9801 DUPONT AVE S until profile deactivation on 2019-07-15.

Practice Location & Contact Primary Location

Practice Address

9801 Dupont Ave S
Suite 200

Bloomington, MN 554313100

Telephone 9528885800
Fax 9528842656
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.3 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
24 Specialists

Practicing in Bloomington, MN (457 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MN 18129

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ellen Yang

Ophthalmology

NPI 1033857057
NPI 1063474906

Doctor of Medicine (M.D.)

Laura Gundale , PA-C

Physician Assistant

NPI 1093037772

Physician Assistant (Certified)

NPI 1114994589

Doctor of Medicine (M.D.)

NPI 1134702376

Doctor of Optometry

Dr. Michael Scheidt , OD

Optometrist - Corneal and Contact Management

NPI 1154851970

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 15, 2019

Record deactivated on July 15, 2019

NPI Profile Active February 02, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 02, 2011

Registered at 9801 DUPONT AVE S, SUITE 200, BLOOMINGTON, MN 554313100 (Tel: 9528885800)

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Updated Business Mailing Address February 02, 2011

Registered at 9801 DUPONT AVE S, SUITE 425, BLOOMINGTON, MN 554313100 (Tel: 9525676092)

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Provider Name / Credentials Updated February 02, 2011

Recorded as JOHN BERGSTEDT, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2011

Ophthalmology (License #18129 in MN)

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Initial NPI Registration & Enumeration September 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902891419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2005
Last Update: February 02, 2011
Deactivation Date: July 15, 2019

Mailing Address

9801 Dupont Ave S, Suite 425

Bloomington, MN 554313100

Phone: 9525676092

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.