Kimberly G. Bergeron, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

47374 Issued in CO

Practice address

730 Cool Springs Blvd
Franklin, TN 37067-7289

Phone

(800) 918-8924

NPI assigned

Nov 21, 2005

Last updated

Oct 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Healthy Women LLC

  dba Phases, Primary Healthcare for Women

  • Internal Medicine Physician
  • Fitchburg, WI
  • NPI 1104169226
  NPD (past)
• Melius, Schurr & Cardwell

  • Obstetrics & Gynecology Physician
  • Fitchburg, WI
  • NPI 1437132776
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1629051966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 SAND DOLLAR CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037958",
            "telephone_number": "720-526-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 COOL SPRINGS BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677289",
            "telephone_number": "800-918-8924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Triverton Pike Dr",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "WI",
            "postal_code": "537115807",
            "country_code": "US",
            "telephone_number": "608-227-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "KIMBERLY",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "47492",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "47374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Bentheimer
• Henry Benton
• Jessica E. Berenguer, PH.D.
• Berger Family Chiropractic Center, LLC
• Christa Berger, DC
• Rachael Saporito Bergman, MD
• Berry Farms Chiropractic, PLC
• Berry Farms Chiropractic, PLC
• Berry Farms Dental
• Berry Farms Eyecare, PLLC (Jana Crim)

• Obstetrics & Gynecology Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.