IndividualActive
Phyllis Bergeron, M.D.
NPI 1407990120 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Denver, CO
Provider details
- NPI number
- 1407990120
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 30486 (CO)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 30486 (CO)
Allopathic & Osteopathic Physicians
Practice location
1375 E 19th Ave
Denver, CO 80218-1114
Phone: (303) 812-3600
Fax: (303) 812-4223
Approximate (ZIP-level) locationGet directions
Mailing address
3069 Fox Sedge Pl
Highlands Ranch, CO 80126-7595
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2020-02-24
- Certified
- 2020-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.