Michael A Bergeron (NPI# 1225067663, PAC ID# 9830133586) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1225067663 |
PAC ID by PECOS | 9830133586 |
Professional Enrollment ID | I20190801003048 |
Full Name | Michael A Bergeron |
Organization Legal Name | DAVITA MEDICAL GROUP NEW MEXICO, LLC |
Address |
4010 Montgomery Blvd Ne Albuquerque NM 87109-1186 |
Phone Number | 5052546500 |
Gender | M |
Credential | MD |
Medical School | DARTMOUTH MEDICAL SCHOOL |
Graduation Year | 1994 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9032125810 |
Number of Group Practice Members | 142 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4010 Montgomery Blvd Ne, Albuquerque, NM 87109-1186 | 5052546500 | DAVITA MEDICAL GROUP NEW MEXICO, LLC |
9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 5052754288 | DAVITA MEDICAL GROUP NEW MEXICO, LLC |
Organization Legal Name | DAVITA MEDICAL GROUP NEW MEXICO, LLC |
Physicians | 180 |
Name | Specialty | Organization | Address |
---|---|---|---|
Theresa Toomey | Nurse Practitioner | Davita Medical Group New Mexico, LLC | 2929 Coors Blvd Nw, Albuquerque, NM 87120-1173 |
Baudilio J Velez | Nurse Practitioner | Davita Medical Group New Mexico, LLC | 5150 Journal Ctr Blvd Ne, Fl 3, Albuquerque, NM 87109-5900 |
Nicole Ann Badillo | Nurse Practitioner | Davita Medical Group New Mexico, LLC | 2901 Transport St Se, Albuquerque, NM 87106-4382 |
Elea Ann Martinez | Nurse Practitioner | Davita Medical Group New Mexico, LLC | 4333 Pan American Fwy Ne, Suite C, Albuquerque, NM 87107-6833 |
Susan D Roberts | Family Medicine | Davita Medical Group New Mexico, LLC | 13701 Encantado Rd Ne, Albuquerque, NM 87123-2275 |
Ryan P Tyner | General Surgery | Davita Medical Group New Mexico, LLC | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 |
Fabio Spadaro | Family Medicine | Davita Medical Group New Mexico, LLC | 1721 Rio Rancho Dr Nw, Albuquerque, NM 87105-5904 |
Patricia A Carabajal | Family Medicine | Davita Medical Group New Mexico, LLC | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 |
Henry Anthony Garcia | Family Medicine | Davita Medical Group New Mexico, LLC | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 |
Edna L Lopez | Nurse Practitioner | Davita Medical Group New Mexico, LLC | 4700 Jefferson St Ne, Suite 800, Albuquerque, NM 87109-2132 |
Street Address |
4010 MONTGOMERY BLVD NE |
City | ALBUQUERQUE |
State | NM |
Zip | 87109-1186 |
Name | Specialty | Organization | Address |
---|---|---|---|
Susan Elizabeth Harte | Family Medicine | Davita Medical Group New Mexico, LLC | 4010 Montgomery Blvd Ne, Albuquerque, NM 87109-1186 |
Laura M Bellew | Nurse Practitioner | Davita Medical Group New Mexico, LLC | 4010 Montgomery Blvd Ne, Albuquerque, NM 87109-1186 |
Rita Leard | Obstetrics/gynecology | Davita Medical Group New Mexico, LLC | 4010 Montgomery Blvd Ne, Albuquerque, NM 87109-1186 |
Clare Castiglia | Internal Medicine | Davita Medical Group New Mexico, LLC | 4010 Montgomery Blvd Ne, Albuquerque, NM 87109-1186 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eleni Gianacakes | Family Medicine | Presbyterian Healthcare Services | 6100 Pan American Fwy 390, Albuquerque, NM 87109 |
Randy L Blair | Chiropractic | 7400 Montgomery Ne, Suite 23, Albuquerque, NM 87109 | |
Stephen K Samoei | Nurse Practitioner | Presbyterian Healthcare Services | 6100 Pan American Fwy 390, Albuquerque, NM 87109 |
Dawn Drumm | Family Practice | Presbyterian Healthcare Services | 6100 Pan American Fwy 390, Albuquerque, NM 87109 |
Ethan M Adler | Nurse Practitioner | Adler Medical LLC | 4121 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 |
James R Tryon | Family Medicine | James R Tryon M.d., PC | 4123 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 |
Margaret W Royson | Family Medicine | 4123 Montgomery Neblvd, Albuquerque, NM 87109-1102 | |
William L Johnson | Interventional Pain Management | 4115 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 | |
Lara Barkoff | Internal Medicine | 4123 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 | |
Michelle I Adler | Nurse Practitioner | Adler Medical LLC | 4121 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 |
Find all physicians in zip 87109 |
City | ALBUQUERQUE |
Zip Code | 87109 |
Specialty | FAMILY MEDICINE |
City + Specialty | ALBUQUERQUE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael A Bergeron.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.