Trevor Tejada-Berges, MD
Obstetrics & Gynecology, Gynecologic Oncology in Providence, RI. Individual provider (NPI-1).
NPI number1245258151
StatusActive
Last updated in NPPESApr 8, 2009
Details
- NPI
- 1245258151
- Entity type
- Individual (NPI-1)
- Name
- Trevor Tejada-Berges
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Last updated
- Apr 8, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | MD10699 | RI | Yes |
Practice location
101 Dudley StProvidence, RI 02905-2401
Phone 401-274-1100
Mailing address
101 Dudley StProvidence, RI 02905-2401
Phone 401-274-1100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Gynecologic Oncology Physician providers in Providence, RI
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All 14 Gynecologic Oncology Physician providers in Providence · All 11,044 providers in Providence
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