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Deactivated NPI 1912185034 Deactivated / Inactive NPI Female Practitioner

Marietta Bergdorf

Naturopath • Bountiful, UT

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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, Marietta Bergdorf has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2008
NPI Deactivation Date October 07, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Marietta Bergdorf was a registered Naturopath practicing in Bountiful, UT. Throughout an active medical career spanning 12 years, Marietta Bergdorf provided care at the practice location at 469 MEDICAL DR until profile deactivation on 2020-10-07.

Practice Location & Contact Primary Location

Practice Address

469 Medical Dr
Ste 100

Bountiful, UT 840104900

Telephone 8013972273
Fax 8012944090
Associated Practice Facility / Clinic
🏢 Todd C. Liston Dds, Ms, Pc Facility NPI 1205098324

Specialty Benchmarks & Practice Insights

Comparative analytics for Naturopath in Bountiful, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Bountiful, UT (46 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

Naturopath Primary Specialty

NUCC Taxonomy Code: 175F00000X

State License UT 4763999-7100

Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Dale Linton , DDS

Dentist - General Practice

NPI 1407925225

Doctor of Dental Surgery

Dr. Blake Brog , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1871624403

Doctor of Dental Medicine

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 October 07, 2020

Record deactivated on October 07, 2020

NPI Profile Active January 31, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 31, 2008

Registered at 469 MEDICAL DR, STE 100, BOUNTIFUL, UT 840104900 (Tel: 8013972273)

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Updated Business Mailing Address January 31, 2008

Registered at 469 MEDICAL DR, STE 100, BOUNTIFUL, UT 840104900 (Tel: 8013972273)

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Provider Name / Credentials Updated January 31, 2008

Recorded as MARIETTA BERGDORF

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2008

Naturopath (License #4763999-7100 in UT)

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Initial NPI Registration & Enumeration January 31, 2008

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: 1912185034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2008
Last Update: January 31, 2008
Deactivation Date: October 07, 2020

Mailing Address

469 Medical Dr, Ste 100

Bountiful, UT 840104900

Phone: 8013972273

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.