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Deactivated NPI 1942284633 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Charl;es Bergquist , DC

Chiropractor • Superior, WI

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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. Mark Bergquist has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 06, 2005
NPI Deactivation Date January 10, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Bergquist, DC was a registered Chiropractor practicing in Superior, WI. Throughout an active medical career spanning 19 years, Dr. Bergquist provided care at the practice location at 1823 BELKNAP ST until profile deactivation on 2024-01-10.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1823 Belknap St

Superior, WI 548802521

Telephone 7153924078
Fax 7153924479
Associated Practice Facility / Clinic
🏢 Bergquist Chiropractic Inc. Facility NPI 1548446073

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Superior, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.6 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
14 Specialists

Practicing in Superior, WI (2664 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
68 23 $65.00 $38.68
98940 Chiropractic manipulative treatment, 1-2 spinal regions
52 15 $45.00 $26.89

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WI 1981

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Renee Choquette

Chiropractor

NPI 1477206191

Career & Practice History Timeline

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

13 Historical Events
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NPI Profile Deactivated January 10, 2024

Record deactivated on January 10, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Chiropractor (License #1981 in WI)

NPI Profile Active July 27, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 27, 2017

Registered at 2806 BELKNAP ST, SUPERIOR, WI 548802341 (Tel: 7153924078)

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Updated Business Mailing Address July 27, 2017

Registered at 2806 BELKNAP ST, SUPERIOR, WI 548802341 (Tel: (715) 392-4078)

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Provider Name / Credentials Updated July 27, 2017

Recorded as MARK BERGQUIST, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2017

Chiropractor (License #1981 in WI)

NPI Profile Active November 14, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2012

Registered at 1823 BELKNAP ST, SUPERIOR, WI 548802521 (Tel: 7153924078)

📍
Updated Business Mailing Address November 14, 2012

Registered at 1823 BELKNAP ST, SUPERIOR, WI 548802521 (Tel: 7153924078)

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Provider Name / Credentials Updated November 14, 2012

Recorded as MARK BERGQUIST, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2012

Chiropractor (License #1981 in WI)

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Initial NPI Registration & Enumeration December 06, 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: 1942284633
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2005
Last Update: November 14, 2012
Deactivation Date: January 10, 2024

Mailing Address

1823 Belknap St

Superior, WI 548802521

Phone: 7153924078

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.