Bergeron, Paul M

Bergeron, Paul M is an individual health care provider with primary practice located at 4220 Harding Rd , Nashville TN 37205-2005. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine. Other Service Providers / Specialist is his primary health care specialty. Bergeron, Paul M can be contacted via phone (615) 222-2111.

Contact Information

Primary practice address
4220 Harding Rd Nashville TN 37205-2005
Phone: (615) 222-2111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24481 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 24481 Tennessee

Profile Details

NPI number 1235182429
LBN Legal business name Bergeron, Paul M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235182429 NPPES
Tennessee MEDICAID 3076150
Tennessee Other 930005969
Tennessee Other 3043899

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