Bergen D. Russon
Recreation Therapist · South Jordan, UT
Bergen D. Russon is a recreation therapist with a practice address in South Jordan, Utah, and NPI 1861952913, issued on Mar 24, 2019. Check the license (Utah 11046853-4002, as entered in NPPES) with the Utah board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Bergen D. Russon
- Primary taxonomy
- Recreation Therapist 225800000X
- License number
- 11046853-4002 UT
Self-reported in NPPES; status is on the state search - Practice location
- 11175 S Redwood RD, South Jordan, UT 84095
- Phone
- (801) 359-4600
- Enumerated
- Mar 24, 2019
- Record last updated
- Mar 24, 2019 (not updated in 7 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 11175 S Redwood RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Rulon Hinckley, PHD, LMFTClinical Social Worker1679638191
- Jill HodgeMarriage & Family Therapist1104200377
- Robert Jones, CMHCMental Health Counselor1427517424
- Matthew Maya, LCSWClinical Social Worker1730878737
- Tanya Radomski, LMFTMarriage & Family Therapist1922301001
- Richard Reimann, ASUDC SSWAddiction (Substance Use Disorder) Counselor1467012195
Verify Bergen D. Russon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 11046853-4002Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Recreation Therapist providers in Utah
There are 237 recreation therapist records in Utah. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other recreation therapist records in Utah
- Mohib AbdelkaderPleasant Grove, UT1669398525
- Belmaris AlbaWest Jordan, UT1265329536
- Camille AlexanderPayson, UT1891505905
- Emalie AllenMillcreek, UT1740021443
- Tamara AllenSt George, UT1881494540
- Natalie AlmondTaylorsville, UT1114781176
- Chloe AlvaradoSalt Lake City, UT1255225587
- Ashley Alvarez, TRS,CTRSOrem, UT1598595019
- Ambree Anderson, TRTLehi, UT1730933847
- Eliza AndersonProvo, UT1770390684
Common questions
What is Bergen D. Russon's NPI number?
Bergen D. Russon's National Provider Identifier (NPI) is 1861952913, issued on Mar 24, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Bergen D. Russon located?
The NPPES record lists a practice address at 11175 S Redwood RD, South Jordan, UT, 84095. Phone: (801) 359-4600. Providers update this record themselves, so call before visiting.
How can I verify Bergen D. Russon's license?
NPPES lists Utah license number 11046853-4002, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.