PHYLLIS A. BERGERON M.D. – NPI #1407990120
Otolaryngology

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

PHYLLIS BERGERON is an otolaryngologist located in DENVER, CO. NPPES has assigned the NPI number 1407990120 to PHYLLIS BERGERON on February 16, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207YX0007X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Plastic Surgery within the Head & Neck

The NPI profile was previously updated about 6 years ago on Feb 24, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHYLLIS BERGERON below.

NPI Profile for
PHYLLIS A. BERGERON

NPI Number
1407990120
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
PHYLLIS A. BERGERON
Credentials
M.D.
Primary location
1375 E 19TH AVE
DENVER, CO 80218-1114
Phone: (303) 812-3600 Fax: (303) 812-4223
Mailing address
3069 FOX SEDGE PL
HIGHLANDS RANCH, CO 80126-7595
Phone: (303) 263-7035 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 24, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PHYLLIS BERGERON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERKAISER-COMMERCIAL NUMBERCO006041
MEDICAIDCO01304864
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0007X
- Otolaryngology / Plastic Surgery within the Head & Neck (Primary)
CO 30486

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.