Individual provider · Type 1 NPI

Austin Charles Bergeron, PA-C

Surgical Physician Assistant · Fort Lauderdale, FL

NPI number 1235895194 Active

Practice location

2320 NE 9th St Ste 300
Fort Lauderdale, FL 33304-3590

Call (954) 563-4500 Map

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000XPA9115307 (FL)
Physician Assistant 363A00000XPA01644 (RI)
Surgical Physician Assistant Primary 363AS0400XPA9115307 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1235895194

Austin Charles Bergeron, PA-C's National Provider Identifier is 1235895194, issued on Nov 15, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 29, 2025.