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DR. PHYLLIS ANN BERGERON M.D.
NPI 1407990120
Otolaryngology - Plastic Surgery within the Head & Neck in Denver, CO

Active since February 16, 2007
1375 E 19TH AVE, DENVER, CO 80218(303) 812-3600(303) 812-4223 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2020, Aug 22, 2017 (2 updates tracked since 2017).

About Dr. Phyllis Ann Bergeron M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHYLLIS ANN BERGERON M.D. (NPI 1407990120) is an individual plastic surgery within the head & neck provider in Denver, Colorado, licensed in Colorado (30486) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1407990120
Entity TypeIndividualFemale
Primary Taxonomy207YX0007X
Provider Legal NameDR. PHYLLIS ANN BERGERONCredential: M.D.
Location Address1375 E 19TH AVEDenver, CO 80218-1114
Mailing Address3069 Fox Sedge PlHighlands Ranch, CO 80126-7595 · (303) 263-7035
Phone(303) 812-3600
Fax(303) 812-4223
Sole ProprietorNo
Enumeration DateFebruary 16, 2007
Last NPPES UpdateFebruary 24, 20202 updates tracked since enumeration
✔ NPI 1407990120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in CO · 30486
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
1375 E 19TH AVE, Denver, CO 80218
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Other Identifiers 2

Medicaid01304864CO
Other006041CO · Kaiser-commercial Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEATHER NICOLE ORTH MD
Emergency Medicine
1375 E 19TH AVE
DENVER, CO 80218
Denver County (303) 338-4545
DR. ROCHELLE RAVISHANKARA MD
Emergency Medicine
1375 E 19TH AVE
DENVER, CO 80218
Denver County (303) 338-4545
JODIE LOVE R.N.
Registered Nurse (Obstetric, Inpatient)
1375 E 19TH AVE
DENVER, CO 80218
Denver County (303) 506-9295
CHRISTINA ANNE SASS D.O.
Hospitalist
1375 E 19TH AVE
DENVER, CO 80218
Denver County (303) 812-6410
DR. WILLIAM P LEE MD
Internal Medicine (Nephrology)
1375 E 19TH AVE
DENVER, CO 80218
Denver County (303) 338-4545
DR. SARAH BROOM HUBBELL M.D.
Hospitalist
1375 E 19TH AVE
DENVER, CO 80218
Denver County (303) 338-4545
HEALTHONE CLINIC SERVICES - OBSTETRICS AND GYNECOLOGY LLC
Obstetrics & Gynecology
1375 E 19TH AVE
DENVER, CO 80218
Denver County (303) 812-2000
DR. MARTHA S SHEINER M.D.
Hospitalist
1375 E 19TH AVE
DENVER, CO 80218
Denver County (303) 338-3382

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Bergeron's NPI number?

The NPI number for Phyllis Bergeron is 1407990120. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Phyllis Bergeron located?

Phyllis Bergeron practices at 1375 E 19th Ave, Denver, CO 80218. The listed phone number is (303) 812-3600.

What is Phyllis Bergeron's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

When was this NPI record last updated?

The NPPES record for Phyllis Bergeron was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.