Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kera Bergeron, PA-C

Individual provider Surgical Physician Assistant · NPI 1629322607

Kera Bergeron, PA-C is a Physician Assistant in Memphis, Tennessee. Qualified in 2012, 14 years ago. Practices with MSK Group PC, a 139-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
14
Licensed in
MS, TN
In the registry since
2012
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6286 Briarcrest Ave
Memphis, TN 38120-4023
Phone: (901) 259-1600
Fax: (901) 259-1698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2248 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 179 (MS)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 179 (MS)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2248 (TN)

Record details

NPI number1629322607
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 30, 2012
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address6077 Primacy Pkwy Ste 140, Memphis, TN 38119-5754

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Msk Group Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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