DR. CAMERON JACKSON BERGERON MD
NPI 1467256750
Student in an Organized Health Care Education/Training Program in Chattanooga, TN

Active since April 03, 2025PECOS Enrolled
975 E 3RD ST, CHATTANOOGA, TN 37403(423) 778-7628 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Cameron Jackson Bergeron Md NPPES

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

DR. CAMERON JACKSON BERGERON MD (NPI 1467256750) is an individual student in an organized health care education/training program in Chattanooga, Tennessee and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467256750
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CAMERON JACKSON BERGERONCredential: MD
Location Address975 E 3RD STChattanooga, TN 37403-2173
Mailing Address975 E 3rd StChattanooga, TN 37403-2173 · (423) 778-7628
Sole ProprietorNo
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
NPI 1467256750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

975 E 3RD ST, Chattanooga, TN 37403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Cameron Jackson Bergeron Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Ophthalmology
975 E 3RD ST, BOX 338
CHATTANOOGA, TN 37403
Nurse Practitioner (Family)
975 E 3RD ST, BOX 376
CHATTANOOGA, TN 37403
Internal Medicine
975 E 3RD ST
CHATTANOOGA, TN 37403
Psychiatry & Neurology (Neurology)
975 E 3RD ST
CHATTANOOGA, TN 37403
Registered Nurse (Neonatal Intensive Care)
975 E 3RD ST, BOX 159
CHATTANOOGA, TN 37403
Nurse Practitioner (Neonatal)
975 E 3RD ST, BOX 159
CHATTANOOGA, TN 37403
Nurse Practitioner (Neonatal)
975 E 3RD ST
CHATTANOOGA, TN 37403
Nurse Practitioner (Neonatal, Critical Care)
975 E 3RD ST, BOX 159
CHATTANOOGA, TN 37403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467256750, enumerated as an "individual" on April 03, 2025.

The provider is located at 975 E 3RD ST CHATTANOOGA, TN 37403 and the phone number is (423) 778-7628.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.