Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan Schuyler Bergvall, MD

Individual provider Nuclear Medicine Physician · NPI 1891988242

Dr. Ethan Schuyler Bergvall, MD is a Nuclear Medicine in Charlottesville, Virginia. Graduated from University of Utah School of Medicine in 2006, 20 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
20
Trained at
University of Utah School of Medicine
Licensed in
VA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1240 Lee St
Charlottesville, VA 22908-0817
Phone: (434) 924-9333
Fax: (434) 243-3938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1215 Lee St, Charlottesville, VA 22908-0817 — (434) 924-0211
  • 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 — (571) 231-4304

Specialties & licences

Nuclear Medicine Physician (primary) Taxonomy 207U00000X · Licence 0101268271 (VA)

Record details

NPI number1891988242
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 20, 2007
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNUCLEAR MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount