STEPHANE BERGERON (NPI# 1528377199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528377199 |
| Entity Type | Individual |
| Full Name | STEPHANE BERGERON |
| Credential | MD |
| Practice Address |
1040 Gulf Breeze Pkwy Suite 200 Gulf Breeze FL 32561-7809 |
| Mailing Address |
1020 Gulf Breeze Pkwy Gulf Breeze FL 32561-4838 |
| Practice Telephone | 8509163700 |
| Practice Fax Number | 8509163710 |
| Mailing Telephone | 8509168583 |
| Mailing Fax Number | 8509168579 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME108283 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1040 GULF BREEZE PKWY SUITE 200 |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506723 | Steve E Jordan | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2005-05-24 |
| 1184232696 | Mary Catherine Ray | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-07-21 |
| 1740805902 | Ginger Christina Bogan | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-06-13 |
| 1528682119 | Charles Alan Ray | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-05-30 |
| 1730666850 | Amanda Nystrom | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 | 2018-07-21 |
| 1043735285 | Matt Creamer | Physical Medicine & Rehabilitation | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2017-08-09 |
| 1700323367 | Ortho Florida, LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Ste 209, Gulf Breeze, FL 32561-7809 | 2017-01-20 |
| 1639615180 | Ortho Florida, LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Ste 200, Gulf Breeze, FL 32561-7809 | 2017-01-09 |
| 1386095404 | Matthew Mcgraw | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Suite 101, Gulf Breeze, FL 32561-7809 | 2016-06-30 |
| 1760845911 | Angela Marie Pectol | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1174027478 | Aegis Group Practice LLC | Occupational Therapist | 50 Joachim Drive, Gulf Breeze, FL 32561 | 2018-03-21 |
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| 1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
| 1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
| 1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
| 1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
| 1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
| 1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
| 1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
| Find all providers in zip 32561 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180475 | Sacred Heart Health System, Inc. | Orthopaedic Surgery | 4033 Gulf Breeze Pkwy, Ste D, Gulf Breeze, FL 32563 | 2017-08-22 |
| 1417361593 | Travis Roth | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy Ste 204, Gulf Breeze, FL 32561-7808 | 2014-06-17 |
| 1376546028 | Richard Graham Sellers | Orthopaedic Surgery | 41 Fairpoint Dr, Ste B, Gulf Breeze, FL 32561-4380 | 2005-05-24 |
| 1972506723 | Steve E Jordan | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2005-05-24 |
| 1639615180 | Ortho Florida, LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Ste 200, Gulf Breeze, FL 32561-7809 | 2017-01-09 |
| 1740662998 | Carl L Byrd IIi | Orthopaedic Surgery | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2015-06-24 |
| 1932527942 | Jack Edward Mckay | Orthopaedic Surgery | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2014-04-07 |
| 1639419971 | Michael Rosen | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2013-02-24 |
| 1568727154 | Anz Ortho LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2012-07-10 |
| 1447549159 | Andrew Charles Morris | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2011-04-04 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32561 |
Please comment or provide details below to improve the information on STEPHANE BERGERON.
| 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.