Individual provider · Type 1 NPI

Kera Bergeron, PA-C

Surgical Physician Assistant · Memphis, TN

NPI number 1629322607 Active

Practice location

6286 Briarcrest Ave
Memphis, TN 38120-4023

Call (901) 259-1600 Map

Fax (901) 259-1698

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X179 (MS)
Medical Physician Assistant 363AM0700X179 (MS)
Surgical Physician Assistant Primary 363AS0400X2248 (TN)
Medical Physician Assistant 363AM0700X2248 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1629322607

Kera Bergeron, PA-C's National Provider Identifier is 1629322607, issued on Oct 30, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Memphis, TN. The record was last updated on Oct 20, 2025.