ANNETTE LOUISE BERGERON


Address: 6541 Haviland Mill Rd, Clarksville, MD 21029-1314
Phone: 3018543711

ANNETTE LOUISE BERGERON (NPI# 1609916014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609916014
Entity Type Individual
Full Name ANNETTE LOUISE BERGERON
Credential PT
Practice Address 6541 Haviland Mill Rd
Clarksville
MD 21029-1314
Mailing Address 6900 Georgia Ave Nw
Washington
DC 20307-0003
Practice Telephone 3018543711
Mailing Telephone 2027826371
Mailing Fax Number 2027823764
Enumeration Date 2007-02-07
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 171W00000X Contractor 8219 MA Other Service Providers
X 2251X0800X Physical Therapist
Specialization: Orthopedic
8219 MA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6541 HAVILAND MILL RD
City CLARKSVILLE
State MD
Zip Code 21029-1314

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710436407 Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC Dentist 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 2016-09-23
1740647262 Darren Joseph Physical Therapist 6151 Daylong Lane, Clarksville, MD 21029 2016-01-28
1619302437 Ashley Kneale Physical Therapist 6408 Silent Moon Run, Clarksville, MD 21029 2013-09-11
1780949693 Jane Choi Council Optometrist 12345 Wake Forest Rd Ste E, Clarksville, MD 21029 2012-07-06
1598035248 Jeffrey Stuart Abrams Internal Medicine 5073ten Oaks Rd, Clarksville, MD 21029 2012-01-11
1902102528 Claudia Joe Salter Psychologist 6100 Daylong Ln Ste 103, Clarksville, MD 21029 2011-01-28
1285892430 Mary Carol Wayda Social Worker 5905 Tall Branches Pass, Clarksville, MD 21029 2008-05-23
1407978422 Basil Saiedy Dds LLC Dentist 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 2007-04-03
1629329214 Dina Michele Singer Acupuncturist 12451 Clarksville Pike, Clarksville, MD 21029 2012-09-24
1689796609 Basil Saiedy Dentist 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 2007-04-03
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306302021 Antuan Eugenia Cornelius Contractor 813 Peachers Mill Rd, Clarksville, TN 37042-5419 2019-02-18
1841657780 Sarah Roberts Contractor 3148 Arrow Ln, Clarksville, TN 37043-2458 2016-01-22
1972826329 Bonita A Owens Contractor 159 Valley Crest Ln, Clarksville, TN 37043-2889 2010-03-12
1194171306 Phoebe C Bell Contractor 1205 Applegate Ln, Clarksville, IN 47129-9608 2016-05-05
1750593828 Therapy Made Fun Inc Contractor 1000 W Buchanan St, Clarksville, AR 72830-2252 2007-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023631058 Reeshemah R Robinson Contractor 18435 Bishopstone Ct, Montgomery Village, MD 20886-0579 2020-05-26
1689293490 Easymd Solutions Inc. Contractor 7849 Americana Cir, Glen Burnie, MD 21060-7811 2020-04-11
1710513320 Exquisite Med LLC Contractor 411 Warfield Dr Apt 4019, Landover, MD 20785-5531 2020-03-14
1659928166 Cindy Ferrier Contractor 15200 Dunleigh Dr, Bowie, MD 20721-3252 2019-08-20
1174184766 Augustine B Nwabueze Contractor 5454 Harpers Farm Rd Apt B3, Columbia, MD 21044-1396 2019-06-24
1184187973 Godfrey Thomas Contractor 4508 Crandall Ct, Lanham, MD 20706-1977 2019-04-09
1194205146 Akshar Health Care Solutions LLC Contractor 5707 Calverton St Ste 2f, Catonsville, MD 21228-1772 2018-08-20
1164919718 Lynn Michelle Gondeck Contractor 385 Tanyerhyde Dr, Westminster, MD 21157-6519 2018-04-19
1558867028 Deborah Hammett Contractor 15502 Emily Ct, Accokeek, MD 20607-2041 2018-04-03
1356860472 Helena Newman Contractor 2001 Downshire Ct, Waldorf, MD 20603-3886 2017-09-11
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Competitor

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City CLARKSVILLE
Zip Code 21029

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Dataset Information

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.

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