Dr. Derek Scott Bergeson, MD
Dr. Derek Scott Bergeson, MD is a Diagnostic Radiology in Provo, Utah. Graduated from Baylor College of Medicine in 2001, 25 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 25
- Trained at
- Baylor College of Medicine
- Licensed in
- UT
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1055 N 500 W Attn CredentialingProvo, UT 84604-8460
Phone: (801) 354-8225
Fax: (801) 418-0941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 12767278-1205 (UT) |
|---|
Record details
| NPI number | 1164641387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 25, 2007 |
| Last updated in NPPES | March 4, 2025 |
| Certification date | March 4, 2025 |
| Mailing address | 1055 N 500 W, Attn Credentialing, Provo, UT 84604 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | BAYLOR COLLEGE OF MEDICINE |
| Graduated | 2001 (25 years in practice) |
| Group practice | Revere Health Pc — 410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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