ETHAN S. BERGVALL M.D. – NPI #1891988242
Nuclear Medicine

A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone

Health Care Provider Taxonomy Code for Nuclear Medicine

ETHAN BERGVALL is a physician located in CHARLOTTESVILLE, VA. NPPES has assigned the NPI number 1891988242 to ETHAN BERGVALL on August 20, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207U00000X from the Health Care Provider Taxonomy code set, which is classified as Nuclear Medicine.

The NPI profile was previously updated about 3 years ago on Aug 08, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETHAN BERGVALL below.

NPI Profile for
ETHAN S. BERGVALL

NPI Number
1891988242
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ETHAN S. BERGVALL
Credentials
M.D.
Primary location
1240 LEE ST
CHARLOTTESVILLE, VA 22908-0817
Phone: (434) 924-9333 Fax: (434) 243-3938
2 Other location(s):
1215 Lee St
Charlottesville, VA 22908-0817
Phone: (434) 924-0211
9300 DeWitt Loop
Nuclear Medicine Service
Fort Belvoir, VA 22060-5285
Phone: (571) 231-4304
Mailing address
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone: (434) 295-1000 Fax: (434) 972-4266
Sole Proprietor
Yes
Updated
Certification Date
Aug 08, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207U00000X
- Nuclear Medicine (Primary)		 VA 0101268271

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1240 LEE ST,
CHARLOTTESVILLE, VA 77025-1669

Additional Information

Education
UNIVERSITY OF UTAH SCHOOL OF MEDICINE - Graduated 2006
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ETHAN BERGVALL is affiliated with the following medical group(s):
  • HOSPITAL
    • NOVANT HEALTH UVA HEALTH SYSTEM CULPEPER MED CENTE
      501 SUNSET LANE
      CULPEPER, VA 22701
    • UNIVERSITY OF VIRGINIA MEDICAL CENTER
      1215 LEE STREET
      CHARLOTTESVILLE, VA 22908

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.