IndividualActive
Russell Bergum, D.O.
NPI 1669400024 · Sports Medicine (Family Medicine) Physician · Rochester, MN
Provider details
- NPI number
- 1669400024
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 42602 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2560 2nd St Sw Ste 120
Rochester, MN 55902-4363
Phone: (507) 361-0400
Fax: (866) 371-6710
Approximate (ZIP-level) locationGet directions
Mailing address
2560 2nd St Sw Ste 120
Rochester, MN 55902-4363
Additional practice locations (1)
- 6151 Thornton Ave Ste 200Des Moines, IA 50321-2413Phone: (515) 421-4090Fax: (402) 939-0407
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.