Individual
BRANDON BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 HAND AVE STE B, BAY MINETTE, AL 36507-4149
(251) 937-7100
(251) 937-9882
Mailing address
188 HOSPITAL DR STE 402, FAIRHOPE, AL 36532-2018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48283
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
NONMEDICARE
—
Enumeration date
06/20/2022
Last updated
08/06/2025
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