Active NPI
Brandon Bergeron, MD
- Internal Medicine Physician
- Bay Minette, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 48283
- Practice address
- 2115 Hand Ave Ste B
Bay Minette, AL 36507-4149 - Phone
- (251) 937-7100
- Fax
- (251) 937-9882
- NPI assigned
- Jun 20, 2022
- Last updated
- Aug 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 48283 | AL | Primary |
Addresses
Primary practice location
2115 Hand Ave Ste B
Bay Minette, AL 36507-4149
Mailing address
188 Hospital Dr Ste 402
Fairhope, AL 36532-2018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Other | NONMEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2115 Hand Ave
Suite B
Bay Minette, AL 36507-4149
Phone (251) 937-7100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48283 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-North Baldwin Primary Plus, LLC | Current | Accepting new patients |
Locations
2115 Hand Ave
Ste B
Bay Minette, AL 36507
Phone (251) 937-7100
Interoperability endpoints
- bbergeron114260@directinfirmaryhealth.org
Organizations & group practices 1
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.
-
dba North Baldwin Primary Plus
- Family Medicine Physician
- Bay Minette, AL
- NPI 1013283530
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Baldwin Family Medicine
- Family Medicine Physician
- Bay Minette, AL
- NPI 1154703726
Hospital
-
dba North Baldwin Infirmary
- General Acute Care Hospital
- Bay Minette, AL
- NPI 1134164924
-
dba Premier Women's Health
- Gynecology Physician
- Bay Minette, AL
- NPI 1760717870
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1497486625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 HOSPITAL DR STE 402",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 HAND AVE STE B",
"city": "BAY MINETTE",
"state": "AL",
"postal_code": "365074149",
"telephone_number": "251-937-7100",
"fax_number": "251-937-9882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGERON",
"first_name": "BRANDON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-20",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "48283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONMEDICARE",
"identifier": "000000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay Minette, AL
- Bay Minette Pediatrics (Bay Minette Family Practice)
- Bay Minette Physical Therapy LLC
- Bay Minette Physical Therapy Services
- Bayside Orthopaedic & Rehabilitation Center, P.C. (Bayside Orthopaedic, Sports Medicine & Rehabilitation Center)
- Michael Earl Bell, PHARM. D
- Bernard Scott
- Nikeya Shayree Betts, CRNP
- Brittney Renee Bicksler, D.O.
- Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care Dialysis Services of Bay Minette)
- Ashley James Bloodsworth, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.