Kera Bergeron, PA-C
Physician Assistant, Surgical in Memphis, TN. Individual provider (NPI-1).
NPI number1629322607
StatusActive
Last updated in NPPESOct 20, 2025
Details
- NPI
- 1629322607
- Entity type
- Individual (NPI-1)
- Name
- Kera Bergeron
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2012
- Certification date
- Oct 20, 2025
- Last updated
- Oct 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 2248 | TN | Yes |
| 363AS0400X | Physician Assistant, Surgical | 179 | MS | |
| 363AM0700X | Physician Assistant, Medical | 179 | MS | |
| 363AM0700X | Physician Assistant, Medical | 2248 | TN |
Practice location
6286 Briarcrest AveMemphis, TN 38120-4023
Phone 901-259-1600 · Fax 901-259-1698
Mailing address
6077 Primacy Pkwy Ste 140Memphis, TN 38119-5754
Phone 901-725-8347 · Fax 901-259-7637
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