Breanna Bergeron (NPI# 1013040849, PAC ID# 4587684600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1013040849 |
| PAC ID by PECOS | 4587684600 |
| Professional Enrollment ID | I20161109001078 |
| Full Name | Breanna Bergeron |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
1200 E Columbia Ave Colville WA 99114-3354 |
| Phone Number | 5096843701 |
| Gender | F |
| Credential | MNT |
| Graduation Year | 2005 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 0345139929 |
| Number of Group Practice Members | 561 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1200 E Columbia Ave, Colville, WA 99114-3354 | 5096843701 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 16528 E Desmet Ct, Spokane, WA 99216-3522 | 5099449440 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Physicians | 1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Alexander Lee Telis | Orthopedic Surgery | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Jodi Ann Fischer | Nurse Practitioner | Providence Health and Services Washington | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 |
| Katherine Elizabeth Reynolds | Nurse Practitioner | Providence Health and Services Washington | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 |
| Eugene Daniel Villacian | Nurse Practitioner | Providence Health and Services Washington | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 |
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Lisa Tisch | Nurse Practitioner | Providence Health and Services Washington | 551 E Hawthorne Rd, Spokane, WA 99218-1417 |
| Natalie S Angus | Family Medicine | Providence Health and Services Washington | 931 S Market Blvd, Chehalis, WA 98532-3423 |
| Tabatha Schellenger | Nurse Practitioner | Providence Health and Services Washington | 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 |
| Callie Rose Adams | Nurse Practitioner | Providence Health and Services Washington | 212 E Central Ave, Suite 240, Spokane, WA 99208-6597 |
| Street Address |
1200 E COLUMBIA AVE |
| City | COLVILLE |
| State | WA |
| Zip | 99114-3354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Raluca Teona Muntean | Rheumatology | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Katie L Gomez | Nurse Practitioner | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Lisa Koch | Psychologist, Clinical | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Kevin R Kellogg | Physician Assistant | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Caron M Cook | Physician Assistant | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Martha L Winje | Physician Assistant | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Elizabeth M Jansen | Family Medicine | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Jonathan F Kalisvaart | Urology | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Lacie Bland | Internal Medicine | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Kelly Grieves | Family Medicine | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl H Holling | Ophthalmology | 164 N Main St, Colville, WA 99114-2306 | |
| Melissa A Brooks | Nurse Practitioner | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| James P Mullen | Family Medicine | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Donald L Jackson | Physician Assistant | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Kelly L Witte | Physician Assistant | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Marty P Malone | Physician Assistant | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Jason D Gutzwiler | Chiropractic | 298 S Main St, Suite 208, Colville, WA 99114-2416 | |
| Lynsey R Eveland | Optometry | Colville Valley Eyecare, Pllc | 298 S Main St, Suite 301, Colville, WA 99114-2416 |
| Kenton Mcdougall | Optometry | Colville Valley Eyecare, Pllc | 298 S Main St, Suite 301, Colville, WA 99114-2416 |
| Robert D Sumner | Physical Therapy | 212 W Birch Ave, Colville, WA 99114-2440 | |
| Find all physicians in zip 99114 | |||
| City | COLVILLE |
| Zip Code | 99114 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | COLVILLE + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Breanna Bergeron.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.