Camille Bergeron-Parent

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

300621 Issued in NY

Practice address

690 Amsterdam Ave
New York, NY 10025-6901

Phone

(212) 865-4104

NPI assigned

Sep 8, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1043869522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W 68TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256901",
            "telephone_number": "212-865-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON-PARENT",
        "first_name": "CAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-08",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "300621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Myriam Berger, MD
• Susan Shoshana Berger, PSY.D.
• Tamar Berger
• Tamar Berger, MD
• Genevieve Bergeret, CERTIFIED DOULA, CLC
• Carter Gerard Bergeron
• Genevieve Bergeron, M.D.
• Megan Bergeron
• Debra B Bergerson, LCSW
• Barbara Anne Bergier, LCSW

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.