National Provider Identifier Database

PHYLLIS A BERGERON, MD – NPI #1407990120
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

PHYLLIS A BERGERON, MD
1375 E 19TH AVE
DENVER, CO80218-1114
Phone: 303-812-3600
Fax: 303-812-4223
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for PHYLLIS A BERGERON

NPI Number 1407990120
Credentials MD
Entity Individual
Enumeration date 02/16/2007
Last updated 02/24/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 30486
  • CO Medicaid: 01304864
  • CO Other: 006041 KAISER-COMMERCIAL NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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