DR. GLYNN A BERGERON M.D. NPI 1578566352

NPI Information

  • NPI: 1578566352
  • Provider Name: DR. GLYNN A BERGERON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 6 WHEELER CT
    SAVANNAH, GA
    ZIP 31405
  • Phone: (912) 355-8200

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NPI Details

DR. Glynn A Bergeron, M.D. is a diagnostic radiology radiology in Savannah, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Glynn A Bergeron, M.D. NPI is 1578566352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6 WHEELER CT
SAVANNAH, GA
ZIP 31405-719
Phone: (912) 355-8200
Fax: (912) 356-6967

The enumeration date for this NPI number is 5/24/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology19482GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
4003681OTHERGEORGIABLUE CROSS BLUE SHIELD
3E97657MEDICARE UPINGEORGIA
230CDBPJMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
100153029AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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