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

Individual provider Physician Assistant · NPI 1174083018

Mr. Colin Oliver Bergeron, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2018, 8 years ago. Practices with Ies ER Oklahoma LLC, a 128-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2019
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

6161 S Yale Ave
Tulsa, OK 74136-1992
Phone: (918) 502-3939
Fax: (918) 502-3945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3014 (OK)

Record details

NPI number1174083018
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESMarch 25, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ies Er Oklahoma Llc — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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