BREANNA K BERGERON RD
NPI 1013040849
Dietitian, Registered in Spokane, WA
NPI Status: Active since March 13, 2007
Contact Information
212 E CENTRAL AVE
STE. 440
SPOKANE, WA
ZIP 99208
Phone: (509) 252-9602
Fax: (509) 227-7070
- Individual
- Female
- Dietitian, Registered
About BREANNA BERGERON
This page provides the complete NPI Profile along with additional information for Breanna Bergeron, a provider established in Spokane, Washington with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1013040849 assigned on March 2007. The practitioner's primary taxonomy code is 133V00000X with license number DI60595970 (WA). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1013040849
- Provider Name
- BREANNA K BERGERON RD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 212 E CENTRAL AVE STE. 440 SPOKANE, WA 99208
- Location Phone
- (509) 252-9602
- Location Fax
- (509) 227-7070
- Mailing Address
- PO BOX 421 LIBERTY LAKE, WA 99019
- Mailing Phone
- (866) 747-2455
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-13-2007
- Last Update Date
- 03-24-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- DI60595970
- License State
- WA
- Taxonomy Description
- A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 175 (AK) |
| 2 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | D-530 (ID) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| DT9813 | MEDICAID (05) | AK |
Reviews for BREANNA K BERGERON RD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 4 | 0 | 8 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 4 | 0 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 4 + 0 + 8 + 8 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1013040849 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801849153 | DR. ERIC D STUCKY MD Individual | Internal Medicine (Cardiovascular Disease) | 212 E CENTRAL AVE SUITE 240 SPOKANE, WA 99208 (509) 489-7504 |
| 1639123169 | BRIAN L SHIPMAN PA-C Individual | Physician Assistant | 212 E CENTRAL AVE SUITE 240 SPOKANE, WA 99208 (509) 489-7504 |
| 1023031119 | MIGUEL A SCHMITZ MD Individual | Orthopaedic Surgery | 212 E CENTRAL AVE SUITE 365 SPOKANE, WA 99208 (509) 435-0973 |
| 1124136692 | NORTH SPOKANE PULMONARY CLINIC, P.S. Organization | Internal Medicine (Pulmonary Disease) | 212 E CENTRAL AVE SUITE 315 SPOKANE, WA 99208 (509) 465-3919 |
| 1396062022 | PROVIDENCE PHYSICIAN SERVICES CO Organization | Internal Medicine (Pulmonary Disease) | 212 E CENTRAL AVE STE 315 SPOKANE, WA 99208 (509) 252-9602 |
| 1154648814 | PROVIDENCE PHYSICIAN SERVICES CO Organization | Internal Medicine (Gastroenterology) | 212 E CENTRAL AVE STE 440 SPOKANE, WA 99208 (509) 252-9602 |
| 1528385283 | PROVIDENCE PHYSICIAN SERVICES CO Organization | Family Medicine | 212 E CENTRAL AVE STE 440 SPOKANE, WA 99208 (509) 252-9602 |
| 1609182070 | DAVID BRYAN RAMEY Organization | Psychiatry & Neurology (Sleep Medicine) | 212 E CENTRAL AVE SUITE 315 SPOKANE, WA 99208 (208) 667-5536 |
| 1962402875 | RUSSELL N OAKLEY M.D. Individual | Orthopaedic Surgery | 212 E CENTRAL AVE SUITE 245 SPOKANE, WA 99208 (509) 252-1977 |
| 1952394272 | STEVEN L PUGH MD Individual | Psychiatry & Neurology (Neurology) | 212 E CENTRAL AVE SUITE 440 SPOKANE, WA 99208 (509) 252-9602 |
| 1073682464 | MR. BRAD JAMES BACHMEIER PA-C Individual | Physician Assistant (Medical) | 212 E CENTRAL AVE SUITE 245 SPOKANE, WA 99208 (509) 252-1977 |
| 1639471667 | DANIEL J SIMON PA Individual | Physician Assistant | 212 E CENTRAL AVE SUITE 440 SPOKANE, WA 99208 (509) 489-2600 |
| 1134262769 | CYNTHIA A HAHN MD Individual | Neurological Surgery | 212 E CENTRAL AVE SUITE 360 SPOKANE, WA 99208 (509) 489-6757 |
| 1730135518 | DR. KEITH A KADEL MD Individual | Internal Medicine (Interventional Cardiology) | 212 E CENTRAL AVE SUITE 240 SPOKANE, WA 99208 (509) 489-7504 |
| 1528201449 | STEPHANIE L KILROY ARNP Individual | Nurse Practitioner | 212 E CENTRAL AVE SUITE 240 SPOKANE, WA 99208 (509) 489-7504 |
| 1295135598 | PROVIDENCE PHYSICIAN SERVICES CO. Organization | Prosthetic/Orthotic Supplier | 212 E CENTRAL AVE SUITE 245 SPOKANE, WA 99208 (509) 465-3026 |
| 1881096774 | TIMOTHY BRIM PA Individual | Physician Assistant | 212 E CENTRAL AVE SUITE 365 SPOKANE, WA 99208 (509) 435-0973 |
| 1336195759 | DR. JOHN P EVERETT MD Individual | Internal Medicine (Cardiovascular Disease) | 212 E CENTRAL AVE SUITE 240 SPOKANE, WA 99208 (509) 489-7504 |
| 1154614469 | JESSICA RENAE CRADDOCK MD Individual | Psychiatry & Neurology (Neurology) | 212 E CENTRAL AVE SUITE 440 SPOKANE, WA 99208 (509) 252-9602 |
| 1073583670 | DR. LAURIE SUMMERS M.D. Individual | Family Medicine | 212 E CENTRAL AVE SUITE 440 SPOKANE, WA 99208 (509) 252-9602 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013040849, enumerated in the NPI registry as an "individual" on March 13, 2007
The provider is located at 212 E Central Ave Ste. 440 Spokane, Wa 99208 and the phone number is (509) 252-9602
The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.