Individual provider Active NPI

Catherine Wachter Bergeron, M.D.

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1669701694
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101253674 Issued in VA
Practice address
830 Kempsville Rd
1St FL
Norfolk, VA 23502-3920
Phone
(757) 261-8070
Fax
(757) 995-7095
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 0101253674 VA Primary

Addresses

Primary practice location

830 Kempsville Rd
1St FL
Norfolk, VA 23502-3920

Mailing address

830 Kempsville Rd
1St FL
Norfolk, VA 23502-3920
Phone (757) 261-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130711000781 VA Practitioner - HospitalistPractitioner - Internal Medicine 5799925905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

111 Mill Creek Pkwy
Suite 300
Chesapeake, VA 23323-1098
Phone (757) 558-8210

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

Hospital & facility affiliations

  • Wings Over Virginia LLC Hospice, Norfolk, VA, CCN 491647
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101253674VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. Internal Medicine CurrentSince Jul 6, 2024 Accepting new patients
Bayview Physician Services, PC CurrentSince Mar 6, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 6, 2024 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Jun 11, 2013 Accepting new patients
Bayview Physician Services, PC Internal Medicine CurrentSince Mar 6, 2024 Accepting new patients
Sentara Medical Group PastSince Jun 11, 2013 Accepting new patients

Locations

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

830 Kempsville Rd
Fl 1
Norfolk, VA 23502
Phone (757) 261-8070

830 Kempsville Rd
Rm 2B223
Norfolk, VA 23502
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

901 E Princess Anne Rd
Norfolk, VA 23504
Phone (757) 547-4528

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

Interoperability endpoints

  • Direct secure messaging: cbergeron8551@direct.sentara.net

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1669701694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KEMPSVILLE RD",
            "address_2": "1ST FL",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-8070",
            "fax_number": "757-995-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KEMPSVILLE RD",
            "address_2": "1ST FL",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-8070",
            "fax_number": "757-995-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "CATHERINE",
        "middle_name": "WACHTER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101253674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.