Organization
JOSEPH W BERGERON, M.D., P.C.
Active
Organization
JOSEPH W BERGERON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WILLIAM BERGERON M.D. (PRESIDENT)
(812) 238-3030
Entity
Organization
Contact information
Practice address
3740 S 4TH ST, TERRE HAUTE, IN 47802-5507
(812) 238-3030
(469) 398-0741
Mailing address
3740 S 4TH ST, TERRE HAUTE, IN 47802-5507
(812) 238-3030
(469) 398-0741
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01044440A
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
01044440A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01044440A
INDIANA PHYSICIAN'S MEDICAL LICENSE
IN
Enumeration date
01/06/2012
Last updated
03/07/2023
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