NPI age
16 years
Enumerated 2009-08-25
● Active
Type 1 · Individual
Brenda Bergholm, MSN, ACNS-BC
Bergholm is 1 of 1 clinical nurse specialist providers in Soda Springs and 1 of 15 in Idaho.
Primary specialty
Clinical Nurse Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-08-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15 active clinical nurse specialist providers in Idaho.
NPI age
16 years
↑ 2 yr above median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-08Enumerated in NPPES
2009
2026
Where they practice
Practice location
300 S 3rd W
Soda Springs, ID 832761559
Mailing address
300 S 3rd W
Soda Springs, ID 832761559
Specialties
-
Clinical Nurse Specialist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | CNS-47A | IDAHO STATE LICENSE |
Practice context
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.