Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Theodore J Bergstrom , MD

Pediatrics • Walla Walla, WA

Active NPI 1598739716 Individual Practitioner Male Practitioner
Practice location in NPPES

55 W Tietan St
Walla Walla, WA 993624445

Call 5095253720 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

55 W Tietan St

Walla Walla, WA 993624445

Telephone 5095253720
Fax 5095221578
Organization at the Same NPPES Address or Phone
Privia Medical Group Washington, Pllc Facility NPI 1780658419

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Walla Walla and Washington

14 active clinicians are listed under Pediatrics with a practice address in Walla Walla, WA (1,753 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Walla Walla

0% of these 14 clinicians have the CMS telehealth indicator.

14.3% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA MD00022923

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1007525 (WA)
Medicaid ID
152421 (OR)
Other Identifier Rail Road Medicare
10041910 (WA)
Other Identifier L&i
40225 (WA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Kevin Andrews , MD

Internal Medicine

NPI 1174513873

Doctor of Medicine (M.D.)

Dr. Victor Attoh , DPT

Physical Therapist

NPI 1689978660

Doctor of Physical Therapy

Dr. Eric Ball , MD

Internal Medicine

NPI 1275507485

Doctor of Medicine (M.D.)

Dr. Thomas Ballard , MD

Radiology - Diagnostic Radiology

NPI 1750360012

Doctor of Medicine (M.D.)

Dr. Allison Bauer , MD

Internal Medicine

NPI 1801392279

Doctor of Medicine (M.D.)

Dr. Barbara Blankenship , MD

Radiology - Diagnostic Radiology

NPI 1356305262

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated February 14, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1598739716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2006
Last Update: November 27, 2007
Sole Proprietor: No

Other Pediatrics Specialists in Walla Walla

Healthcare providers in Walla Walla

Mailing Address

55 W Tietan St

Walla Walla, WA 993624445

Phone: 5095253720

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.