Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dustin Bergeron

Individual provider Registered Nurse · NPI 1588426274

Dustin Bergeron is a Certified Registered Nurse Anesthetist (CRNA) in Glendale, Arizona. Qualified in 2024, 2 years ago. Practices with Greater Anesthesia Solutions, a 209-clinician group and accepts Medicare assignment. Licensed in Arizona and Louisiana.

Years since qualifying
2
Licensed in
AZ, LA
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

18701 N 67th Ave
Glendale, AZ 85308-7100
Phone: (623) 561-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 317963 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 205491 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588426274
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 29, 2024
Last updated in NPPESDecember 31, 2024
Certification dateDecember 31, 2024
Mailing address8925 Stonecroft Ave, Baton Rouge, LA 70810-2677

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Greater Anesthesia Solutions — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale