Breanna K Bergeron, RD - Dietitian in Spokane, WA

Breanna K Bergeron, RD is a Dietitian, Registered based in Spokane, Washington. Breanna K Bergeron is licensed to practice in Washington (license number DI60595970) and her current practice location is 212 E Central Ave, Ste. 440, Spokane, Washington. She can be reached at her office (for appointments etc.) via phone at (509) 252-9602.

NPI number for Breanna K Bergeron is 1013040849 and her current mailing address is Po Box 421, Liberty Lake, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013040849.

Contact Information

Breanna K Bergeron, RD
212 E Central Ave, Ste. 440,
Spokane, WA 99208-6291
(509) 252-9602
(509) 227-7070

Map and Direction




Healthcare Provider's Profile

Full NameBreanna K Bergeron
GenderFemale
SpecialityDietitian, Registered
Location212 E Central Ave, Spokane, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013040849
  • Provider Enumeration Date: 03/13/2007
  • Last Update Date: 03/24/2017

Medical Identifiers

Medical identifiers for Breanna K Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013040849NPI-NPPES
DT9813MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 175 (Alaska)Secondary
133V00000XDietitian, Registered D-530 (Idaho)Secondary
133V00000XDietitian, Registered DI60595970 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna K Bergeron is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Breanna K Bergeron, RD
Po Box 421,
Liberty Lake, WA 99019-0421

Ph: (866) 747-2455
Breanna K Bergeron, RD
212 E Central Ave, Ste. 440,
Spokane, WA 99208-6291

Ph: (509) 252-9602

Reviews and Comments


Dietitian, Registered in Spokane, WA

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Phone: 509-252-5792    Fax: 509-340-7323
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Practice Location: 800 West 5th Ave, Spokane, WA 99204
Phone: 509-458-5800    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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