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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CARMEN RENEE BERGOM, MD

Active

DR. CARMEN RENEE BERGOM, MD is a Radiation Oncology healthcare provider located in FLORISSANT, Missouri. NPI 1932363553 is currently active in the NPPES registry. Verify at CMS.

Radiation Oncology · FLORISSANT, MO

Registration Details

NPI Number
1932363553
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2008 (17.901383555588 yrs)
Last Updated
Apr 15, 2025
License
2020031317 (MO)

Practice Information

Address
1255 GRAHAM RD
DEPT RADIATION ONCOLOGY
FLORISSANT, MO, 630318014
Browse MO providers · Browse ZIP 63031
Phone
3148206751
Fax
3148206752
Primary Specialty
Radiation Oncology
2085R0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.