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Contact Information

MCKENZIE A BERGERON, DPT
1325 E FORTIFICATION ST
JACKSON, MS39202-2442
 Phone: 601-354-4488
 Fax: 601-914-1779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MCKENZIE A BERGERON · (Female)

NPI Number 1639844921
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 08/10/2021
Last updated 12/19/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • MS License # PT7116
Hospital affiliation(s) Not Available
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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