MARK J. BERGERON M.D. – NPI #1699838300
Pediatrics

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.

MARK BERGERON is a physician located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1699838300 to MARK BERGERON on December 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. 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 MARK BERGERON below.

NPI Profile for
MARK J. BERGERON

NPI Number
1699838300
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK J. BERGERON
Credentials
M.D.
Primary location
MMC 39 420 DELAWARE STREET SE
UNIVERSITY OF MINNESOTA DIVISION OF NEONATOLOGY
MINNEAPOLIS, MN 55455
Phone: (612) 626-2958 Fax:
Mailing address
1469 ELEANOR AVE
SAINT PAUL, MN 55116-2234
Phone: (651) 698-4506 Fax:
Sole Proprietor
Yes
Updated
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
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine (Primary)
MN 47620

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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