DR. MARK JOSEPH BERGERON


Address: Mmc 39 420 Delaware Street Se, University of Minnesota Division of Neonatology, Minneapolis, MN 55455
Phone: 6126262958

DR. MARK JOSEPH BERGERON (NPI# 1699838300) 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) 1699838300
Entity Type Individual
Full Name DR. MARK JOSEPH BERGERON
Credential M.D.
Practice Address Mmc 39 420 Delaware Street Se
University of Minnesota Division of Neonatology
Minneapolis
MN 55455
Mailing Address 1469 Eleanor Ave
Saint Paul
MN 55116-2234
Practice Telephone 6126262958
Mailing Telephone 6516984506
Enumeration Date 2006-12-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
47620 MN Allopathic & Osteopathic Physicians

Other Providers MARK BERGERON

NPI Name Taxonomy Address Enumeration
1275610248 Mark Edward Bergeron I Chiropractor 13 Orchard Dr, Ste 6, Londonderry, NH 03038-5124 2006-11-01
1518308329 Mark Bergeron Nurse Anesthetist, Certified Registered 333 N Texas Ave, Webster, TX 77598-4966 2013-07-09

Office Location

Street Address MMC 39 420 DELAWARE STREET SE
UNIVERSITY OF MINNESOTA DIVISION OF NEONATOLOGY
City MINNEAPOLIS
State MN
Zip Code 55455

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932715679 Kara Biscobing Nurse Anesthetist, Certified Registered M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 2020-09-18
1982213237 Yue Hu Dentist 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 2020-07-23
1952922148 Jacob Laurence Tigner Student in an Organized Health Care Education/Training Program 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 2020-04-29
1710507538 Rachael Grundman Student in an Organized Health Care Education/Training Program 420 Delaware St, Mmc 395, Minneapolis, MN 55455 2020-04-22
1497375240 Sanjay Dhawan Student in an Organized Health Care Education/Training Program 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 2020-04-22
1508486549 Dariel Andres Diaz Student in an Organized Health Care Education/Training Program 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 2020-04-20
1275186280 Kerem Ozturk Radiology B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 2019-07-18
1275194631 Andres Jose Gonzalez Coba Student in an Organized Health Care Education/Training Program 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 2019-06-26
1841850278 Brendan Andrew Schleyer Dentist 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 2019-06-18
1932767399 Claire-audrey Y Bayan Student in an Organized Health Care Education/Training Program 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 2019-05-31
Find all providers in zip 55455

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285717082 Kari Roberts Pediatrics Pwb Fourth Floor, Room 4-100, 516 Delaware Street Se, Minneapolis, MN 55455 2006-10-23
1467967448 Magdalene Marie Anderson Pediatrics 2525 Chicago Ave, Minneapolis, MN 55404-4518 2017-12-12
1679918486 Abigail Elizabeth Faulman Pediatrics 2525 Chicago Ave, Minneapolis, MN 55404-4518 2013-05-07
1457617060 Stacy Lynn Kern Pediatrics 2525 Chicago Ave, Minneapolis, MN 55404-4518 2012-04-09
1477833358 Kunal Gupta Pediatrics 701 Park Ave, Minneapolis, MN 55415-1623 2011-08-23
1588958490 Megan Elizabeth Paulsen Pediatrics 2512 S 7th St, Minneapolis, MN 55454-1404 2011-06-08
1588955199 Katherine Satrom Pediatrics 2512 S 7th St, Minneapolis, MN 55454-1404 2011-04-29
1326338120 Katherine Lynn Braski Pediatrics 2525 Chicago Ave, Minneapolis, MN 55404-4518 2011-04-13
1184935462 Evangelia Gravari Pediatrics 2525 Chicago Ave, Minneapolis, MN 55404-4518 2010-07-01
1801080437 Tara G Zamora Pediatrics 2525 Chicago Ave, Minneapolis, MN 55404-4518 2007-08-27
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55455

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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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