John Bergeron, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

J3987 Issued in TX

Practice address

1961 W T C Jester Blvd
Houston, TX 77008-1256

Phone

(713) 868-3223

Fax

(713) 861-8970

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376690503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 W T C JESTER BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081256",
            "telephone_number": "713-868-3223",
            "fax_number": "713-861-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 W T C JESTER BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081256",
            "telephone_number": "713-868-3223",
            "fax_number": "713-861-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "J3987",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Berger, MD
• Mark B Berger, M.D.
• Savannah Berger, MS, GC
• Amanda Bergeron, AGACNP
• Erika Bergeron, PHARM.D.
• Eric P Bergh, M.D.
• Chaim B. Bergida, PA-C
• Jason Andrew Berglund, DMD
• Eldo William Bergman Jr., M.D.
• Mary Ann Conklin Bergman, MD

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.