Active NPI
Lauren Elizabeth Fox-Bergvin, DO
- Pediatrics Physician
- Crossville, TN
National Provider Identifier
1568856854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 3361
- Practice address
- 3234 Miller Ave
Crossville, TN 38555 - Phone
- (931) 707-8700
- Fax
- (931) 456-0802
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 3361 | TN | Primary |
Addresses
Primary practice location
3234 Miller Ave
Crossville, TN 38555
Mailing address
3234 Miller Ave
Crossville, TN 38555-6116
Phone (931) 707-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3361 | TN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plateau Pediatrics, PLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- fox-bergvin@plateau.opdirect.net
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1568856854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3234 MILLER AVE",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385556116",
"telephone_number": "931-707-8700",
"fax_number": "931-456-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3234 MILLER AVE",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "38555",
"telephone_number": "931-707-8700",
"fax_number": "931-456-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX-BERGVIN",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "3361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.