Jake Bergstrom, MD
NPI 1134289051 · Internal Medicine Physician · Auburn, WA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jake Bergstrom, MD is a Internal Medicine Physician provider in Auburn, WA (NPI 1134289051).
Provider details
- NPI number
- 1134289051
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00020595 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 21 Niederman RoadOakville, WA 98568Phone: (360) 273-5504Fax: (360) 273-8666
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2023-03-07
- Certified
- 2020-02-26
Frequently asked questions
- What is Jake Bergstrom's NPI number?
- Jake Bergstrom's National Provider Identifier (NPI) is 1134289051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Bergstrom's specialty?
- Jake Bergstrom is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jake Bergstrom located?
- Jake Bergstrom's practice location on file with NPPES is 17500 Se 392nd St, Auburn, WA 98092-9705.
- What is Jake Bergstrom's phone number?
- The practice phone number listed in the NPPES registry for Jake Bergstrom is (253) 939-6648.
- Does Jake Bergstrom accept Medicare?
- Jake Bergstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jake Bergstrom's NPI active?
- Yes — Jake Bergstrom's NPI (1134289051) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.