Provider Demographics
NPI:1194962944
Name:BERGIN, PATRICK FINLEY (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:FINLEY
Last Name:BERGIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 N STATE ST
Mailing Address - Street 2:DEPT OF ORTHOPEDICS
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:601-984-6525
Mailing Address - Fax:601-815-1722
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:DEPARTMENT OF ORTHOPEDICS
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-984-6525
Practice Address - Fax:601-815-1722
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS21392207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04155201Medicaid
AL148813Medicaid
MS302I204573Medicare PIN
MS04155201Medicaid
AL148813Medicaid