KERA BERGERON PA-C NPI 1629322607

NPI Information

  • NPI: 1629322607
  • Provider Name: KERA BERGERON, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6029 WALNUT GROVE RD STE 403
    MEMPHIS, TN
    ZIP 38120
  • Phone: (901) 261-7836

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NPI Details

Kera Bergeron, PA-C is a surgical physician assistant in Memphis, TN with 13 years of experience. Kera Bergeron, PA-C NPI is 1629322607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6029 WALNUT GROVE RD STE 403
MEMPHIS, TN
ZIP 38120-112
Phone: (901) 261-7836
Fax: (901) 226-0215

The NPI 1629322607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 10/30/2012 and was last updated on 9/10/2021.

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
1363AM0700XPhysician AssistantMedical2248TENNESSEENo
2363AM0700XPhysician AssistantMedical179MISSISSIPPINo
3363AS0400XPhysician AssistantSurgical179MISSISSIPPINo
4363AS0400XPhysician AssistantSurgical2248TENNESSEEYes

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
1179OTHERMISSISSIPPIMS LICENSE
26186490OTHERTENNESSEEBCBS
3Q000115MEDICAIDTENNESSEE
4T08648AOTHERTENNESSEEMEDICARE
52248OTHERTENNESSEETN LICENSE

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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