Active NPI
Jeffrey Mark Bergeron Jr., M.D.
- Otolaryngology Physician
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- T8489
- Practice address
- 10970 Shadow Creek Pkwy Ste 360
Pearland, TX 77584-0123 - Phone
- (713) 436-8071
- Fax
- (866) 939-1568
- NPI assigned
- Apr 3, 2017
- Last updated
- Jul 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | T8489 | TX | Primary |
Addresses
Primary practice location
10970 Shadow Creek Pkwy Ste 360
Pearland, TX 77584-0123
Mailing address
10740 N Gessner Rd Ste 310
Dallas, TX 75284-4658
Phone (281) 897-0416
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbergeron1096456@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Otolaryngology
- Education
- Baylor College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10905 Memorial Hermann Dr
Suite 117
Pearland, TX 77584-3490
Phone (713) 436-8071
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.75 of 100
- Promoting interoperability
- 95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Ear, Nose & Throat Specialists, PLLC | Otolaryngology | Current | Accepting new patients |
Locations
10905 Memorial Hermann Dr
Ste 117
Pearland, TX 77584
Phone (713) 436-8071
10970 Shadow Creek Pkwy
Ste 360
Pearland, TX 77584
Phone (713) 436-3697
1036 N Circle Dr
Sealy, TX 77474
Phone (281) 302-6636
9301 Pinecroft Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 362-1368
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.
-
- Otolaryngology Physician
- McKinney, TX
- NPI 1255314985
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1790217149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10740 N GESSNER RD STE 310",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "281-897-0416",
"fax_number": "305-807-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10970 SHADOW CREEK PKWY STE 360",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775840123",
"telephone_number": "713-436-8071",
"fax_number": "866-939-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGERON",
"first_name": "JEFFREY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "T8489",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbergeron1096456@direct.sw.org",
"affiliation": "N",
"address_1": "302 University Blvd",
"city": "Round Rock",
"state": "TX",
"country_code": "US",
"postal_code": "786651032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pearland, TX
- Benevolence Health Services, LLC (Benevolence Home Care)
- Benevolence Home Care
- Ayanna J Benjamin
- Holly D Bennett, CCC-SLP
- Tracey Benson
- Terryn Bergeron, SLP, M.S.-CCC
- Berkeley Eye Institute, PLLC (Berkeley Eye Center)
- Rebecca Danielle Berkemeier, HWC
- Bernadette Fields Healthcare LLC (Bernadette Fields Healthcare)
- Bernadette Fields Healthcare, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.