Individual
PAUL M BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24481
TN
207P00000X
Emergency Medicine Physician
24481
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3043899
BCBS PROVIDER NUMBER
TN
05
—
3076150
—
TN
01
—
930005969
RAILROAD MEDICARE PROVIDE
TN
Enumeration date
05/18/2006
Last updated
12/21/2016
Update your record
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