Mark Edward Bergeron I, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7040903 Issued in NH

Practice address

13 Orchard Dr
Ste 6
Londonderry, NH 03038-5124

Phone

(603) 437-2181

NPI assigned

Nov 1, 2006

Last updated

Mar 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mark Edward Bergeron I Professional name

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bergeron Chiropractic

  • Chiropractor
  • Derry, NH
  • NPI 1255667069
  NPD (past) Authorized official
• Coppola Physical Therapy and Fitness Gym LLC

  • Physical Therapy Clinic/Center
  • Candia, NH
  • NPI 1346481561
  NPD (past)
• Brockton Spine and Rehab

  • Chiropractor
  • Taunton, MA
  • NPI 1134167521
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1275610248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HOLTS POINT RD",
            "city": "SANDOWN",
            "state": "NH",
            "postal_code": "038732522",
            "telephone_number": "603-475-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ORCHARD DR",
            "address_2": "STE 6",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030385124",
            "telephone_number": "603-437-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "7040903",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "BERGERON",
            "middle_name": "EDWARD",
            "prefix": "DR.",
            "suffix": "I",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Adam P Beck, MD
• Rachel Ann Behling, BCBA
• Believe in You Counseling, PLLC
• Doreen Renee Benoit, ARNP
• Ashley Elisabeth Bergeron
• Nicole Bernier, OTR
• Shannon Berube
• Heema K Bhagat, PA
• Bio-Medical Applications of New Hampshire, Inc. (Fresenius Medical Care of Londonderry)
• Jennifer L Bishop, OTA

• Chiropractor in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.