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

Dr. Lars Bergeson, MD

Individual provider Family Medicine Physician · NPI 1497721195

Dr. Lars Bergeson, MD is a Family Medicine Physician in Providence, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

382 W 280 N
Providence, UT 84332-9707
Phone: (435) 752-0330
Fax: (435) 755-0922
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 170371-1205 (UT)

Record details

NPI number1497721195
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 23, 2006
Last updated in NPPESNovember 9, 2009
Mailing addressPo Box 609, Providence, UT 84332-0609

Other providers in Providence