Provider Demographics
NPI:1952469181
Name:BERGERON, FRANK (DC)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:BERGERON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CROSSROADS DR
Mailing Address - Street 2:P.O. BOX 431
Mailing Address - City:EAST FREETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02717-1256
Mailing Address - Country:US
Mailing Address - Phone:508-763-4450
Mailing Address - Fax:
Practice Address - Street 1:8 CROSSROADS DR
Practice Address - Street 2:
Practice Address - City:EAST FREETOWN
Practice Address - State:MA
Practice Address - Zip Code:02717-1256
Practice Address - Country:US
Practice Address - Phone:508-763-4450
Practice Address - Fax:508-763-4473
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2007111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA689590OtherTUFTS
MA228402OtherBLUE CROSS OF RI
MA4490265OtherUNITED HEALTHCARE
MA648910OtherCIGNA
MA352525OtherHARVARD PILGRIM
MAY36746OtherBLUE CROSS BLUE SHIELD MA
MA1601105Medicaid