Beverly Jean Bergum , RN
Registered Nurse - General Practice • Perham, MN
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, Beverly Bergum has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Beverly Bergum, RN was a registered Registered Nurse - General Practice practicing in Perham, MN. Throughout an active medical career spanning 10 years, Beverly Bergum provided care at the practice location at 812 4TH AVE SW until profile deactivation on 2019-12-16.
Practice Location & Contact Primary Location
812 4th Ave Sw
Perham, MN 565731632
Specialty Benchmarks & Practice Insights
Comparative analytics for Registered Nurse - General Practice in Perham, MN
Practicing in Perham, MN (95 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 163WG0000X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 16, 2019
NPI status registered as active in NPPES database
Registered at 812 4TH AVE SW, PERHAM, MN 565731632 (Tel: 2183463266)
Registered at 812 4TH AVE SW, PERHAM, MN 565731632 (Tel: 2183463266)
Recorded as BEVERLY BERGUM, RN
Registered Nurse (License #R88457-2 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
812 4th Ave Sw
Perham, MN 565731632
Phone: 2183463266
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