{"npi":"1679557367","type":"NPI-1","status":"active","name":{"display":"Richard Bergstrom M.D.","other":[],"first":"RICHARD","last":"BERGSTROM","middle":"T","credential":"M.D."},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"CA","license":"A80467"}]},"addresses":[{"purpose":"LOCATION","street_1":"3305 PLACER ST","city":"REDDING","state":"CA","postal_code":"960012364","country_code":"US","street_2":"STE A","phone":"5302433687","fax":"5302433383"},{"purpose":"MAILING","street_1":"3305 PLACER ST","city":"REDDING","state":"CA","postal_code":"960012364","country_code":"US","street_2":"STE A","phone":"5302433687","fax":"5302433383"}],"license":{"state":"CA","number":"A80467"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00A804670","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20031119001006","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"CA","pac_id":"5496659732"}]},"enumeration_date":"2005-12-06","last_updated":"2012-09-05","_meta":{"source":"NPPES","snapshot_date":"2012-09-05","doc_url":"https://findmynpi.com/api"}}