WILLIAM F BERGERON III (NPI# 1427514314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427514314 |
| Entity Type | Individual |
| Full Name | WILLIAM F BERGERON III |
| Practice Address |
2301 E Allegheny Ave Philadelphia PA 19134-4427 |
| Practice Telephone | 2673675009 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | DS042592 | PA | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RES-30558 | IA | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Hawkins Dr, Iowa City, IA 522421009 | 3193567339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720183148 | William Noah Bergeron | Pathology | 8768 Quarters Lake Rd, Suite 4, Baton Rouge, LA 70809 | 2006-09-13 |
| 1295755296 | William Frederick Bergeron Jr. | Dentist | 111 W 16th Ave, Suite 203, Anchorage, AK 99501-6206 | 2006-07-20 |
| Street Address |
2301 E ALLEGHENY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549063 | Jay S Fineman | Anesthesiology | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2005-06-27 |
| 1992322044 | Josh Samuel | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2020-07-05 |
| 1619593845 | Claudia Lobelli Chandler | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2020-06-23 |
| 1194361980 | Public Health Managment Corporation (phmc) | Community/Behavioral Health | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-11-27 |
| 1184284796 | Lisbet Diaz Linares | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-06-17 |
| 1477113165 | Matthew Dudek | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-06-16 |
| 1548827769 | Tara Brooke Denton | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-05-22 |
| 1962067694 | Stephanie P Tran | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-05-08 |
| 1043718588 | Beacon Point Recovery Center, LLC. | Community/Behavioral Health | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2018-01-30 |
| 1629599840 | Joanna Mangar | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
| 1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
| 1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
| 1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
| Find all providers in zip 19134 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1891395828 | Roopali Mahajan | Student in an Organized Health Care Education/Training Program | 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 | 2020-10-28 |
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1477166056 | Tiffany Shanay Canady | Student in an Organized Health Care Education/Training Program | 8400 Lindbergh Blvd Apt 1011, Philadelphia, PA 19153-1513 | 2020-08-25 |
| 1093325599 | Taylor Ann Hall | Student in an Organized Health Care Education/Training Program | 403 E Evergreen Ave, Philadelphia, PA 19118-2826 | 2020-08-09 |
| 1093324766 | Alex J Rodriguez | Student in an Organized Health Care Education/Training Program | 7950 Henry Ave Apt 9a, Philadelphia, PA 19128-3005 | 2020-07-28 |
| 1396361796 | Hagar Mahmoud | Student in an Organized Health Care Education/Training Program | 9181 Academy Rd Apt 407, Philadelphia, PA 19114-2724 | 2020-06-22 |
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1386266138 | Ogan Kumova | Student in an Organized Health Care Education/Training Program | 245 N 15th St Rm 18119, Philadelphia, PA 19102-1101 | 2020-05-15 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19134 |
Please comment or provide details below to improve the information on WILLIAM F BERGERON III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.