Derek Scott Bergeson, MD
Diagnostic Radiology Physician · Provo, UT
Derek Scott Bergeson, MD is a diagnostic radiology physician with a practice address in Provo, Utah, and NPI 1164641387, issued on Apr 25, 2007. Check the license (Utah 12767278-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Derek Scott Bergeson
- Credential
- MD
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License number
- 12767278-1205 UT
Self-reported in NPPES; status is on the state search - Practice location
- 1055 N 500 W, Provo, UT 84604
- Phone
- (801) 354-8225
- Enumerated
- Apr 25, 2007
- Record last updated
- Mar 4, 2025
- Fax
- (801) 418-0941
- Medicare enrollment
- Enrolled (PECOS I20220422002314); accepts Medicare assignment
- Medical or professional school
- Baylor College Of Medicine, 2001
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 327 in Utah → Look up another NPI →
Also registered at 1055 N 500 W
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Leslee Adams, NPFamily Nurse Practitioner1083082283
- James Anderson, PTPhysical Therapist1932201647
- Elizabeth Avery, PAPhysician Assistant1134828965
- Carl Bacon, MDOrthopaedic Surgery Physician1962505750
- Douglas Bagley, PTHand Physical Therapist1538155411
- Ryan Baker, PA-CPhysician Assistant1912306432
Verify Derek Scott Bergeson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 12767278-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Revere Health PCProvo, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Derek Scott Bergeson among 327 diagnostic radiology physician records in Utah
Derek Scott Bergeson, MD is one of 327 diagnostic radiology physician records with a practice address in Utah. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 45% of them.
- NPI issued2007 · 45% of these records are older, 47% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2001 · median 2004 among the 227 with a school on file
- Record last updated2025 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
47 diagnostic radiology physician records list a practice address in Provo
They are 47 of the 5,405 NPPES records with a practice address in Provo, and 327 diagnostic radiology physician records in Utah.
All 327 in Utah → Every provider in Provo → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Brent Chandler, MDProvo, UT 846041346292026
- John Collins, MDProvo, UT 846041215974266
- David Cottam, M.D.Provo, UT 846041356309512
- Tyler Crawford, MDProvo, UT 846041629029319
- Gary Halversen, M.D.Provo, UT 846041487625869
- Roy Hammond, MDProvo, UT 846041235183781
- Dennis Heaston, MDProvo, UT 846041548214224
- Jeffrey McClellan, MDProvo, UT 846041518910108
Common questions
What is Derek Scott Bergeson, MD's NPI number?
Derek Scott Bergeson, MD's National Provider Identifier (NPI) is 1164641387, issued on Apr 25, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Derek Scott Bergeson, MD located?
The NPPES record lists a practice address at 1055 N 500 W, Provo, UT, 84604. Phone: (801) 354-8225. Providers update this record themselves, so call before visiting.
How can I verify Derek Scott Bergeson, MD's license?
NPPES lists Utah license number 12767278-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. 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.