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Contact Information

KERA BERGERON, PA-C
6286 BRIARCREST AVE
MEMPHIS, TN38120-4023
 Phone: 901-259-1600
 Fax: 901-259-1698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KERA BERGERON · (Female)

NPI Number 1629322607
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/30/2012
Last updated 10/20/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 179
  • TN License # 2248
  • TN Medicaid Q000115
  • MS Other 179 MS LICENSE
  • TN Other 6186490 BCBS
  • TN Other T08648A MEDICARE
  • TN Other 2248 TN LICENSE
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    6019 WALNUT GROVE ROAD
    MEMPHIS, TN 38120
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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