Deane Bergsrud, P.A.
Physician Assistant · Alexandria, VA
Deane Bergsrud, P.A. is a physician assistant with a practice address in Alexandria, Virginia, and NPI 1124234455, issued on May 15, 2007. Check the license (Virginia 0110000120, as entered in NPPES) with the Virginia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Deane Bergsrud
- Credential
- P.A.
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 0110000120 VA
Self-reported in NPPES; status is on the state search - Practice location
- 4660 Kenmore Ave, Alexandria, VA 22304
- Phone
- (703) 212-0700
- Enumerated
- May 15, 2007
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (703) 212-0705
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,408 in Virginia → Look up another NPI →
Also registered at 4660 Kenmore Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Stefano AgoliniSurgery Physician1023162724
- Habibollah Ahdoot, M.D.Gynecology Physician1194894642
- Kenneth Ahdoot, MDObstetrics & Gynecology Physician1013017524
- Ali Al-Attar, MDPlastic Surgery Physician1659529907
- Tabitha AndreObstetrics & Gynecology Physician1164612917
- Maria Asesor, M.D.Internal Medicine Physician1386607372
Verify Deane Bergsrud in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0110000120Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Deane Bergsrud among 4,408 physician assistant records in Virginia
Deane Bergsrud, P.A. is one of 4,408 physician assistant records with a practice address in Virginia. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 14% of them.
- NPI issued2007 · 14% of these records are older, 82% newer
- In a Medicare fileNo · 78% of these records are
- In the CMS Doctors and Clinicians fileNo · 66% of these records are
- Record last updated2007 · 33% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
124 physician assistant records list a practice address in Alexandria
They are 124 of the 5,424 NPPES records with a practice address in Alexandria, and 4,408 physician assistant records in Virginia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,408 in Virginia → Every provider in Alexandria → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Cheryl Athearn, PAAlexandria, VA 223041366401705
- Kara Chapman, PAAlexandria, VA 223041811186448
- April Cournoyer, PA-CAlexandria, VA 223041134424369
- Holly Grunebach, PAAlexandria, VA 223041669627899
- Keith Kettell, PA-CAlexandria, VA 223041417948670
- David Kon, PA-CAlexandria, VA 223041407040454
- Marlecia Lambeth, PAAlexandria, VA 223041356628747
- Michael Mortiere, PA-CAlexandria, VA 223041760521512
Common questions
What is Deane Bergsrud, P.A.'s NPI number?
Deane Bergsrud, P.A.'s National Provider Identifier (NPI) is 1124234455, issued on May 15, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Deane Bergsrud, P.A. located?
The NPPES record lists a practice address at 4660 Kenmore Ave, Alexandria, VA, 22304. Phone: (703) 212-0700. Providers update this record themselves, so call before visiting.
How can I verify Deane Bergsrud, P.A.'s license?
NPPES lists Virginia license number 0110000120, as entered by the provider. Search the Virginia 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.