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

Mr. Deane Bergsrud, PA

Individual provider Physician Assistant · NPI 1124234455

Mr. Deane Bergsrud, PA is a Physician Assistant in Alexandria, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4660 Kenmore Ave Ste 900
Alexandria, VA 22304-1313
Phone: (703) 212-0700
Fax: (703) 212-0705
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110000120 (VA)

Record details

NPI number1124234455
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4660 Kenmore Ave, Suite 900, Alexandria, VA 22304-1313

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