Healthcare Provider Details

I. General information

NPI: 1194962944
Provider Name (Legal Business Name): PATRICK FINLEY BERGIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2009
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N STATE ST DEPARTMENT OF ORTHOPEDICS
JACKSON MS
39216-4500
US

IV. Provider business mailing address

2500 N STATE ST DEPT OF ORTHOPEDICS
JACKSON MS
39216-4500
US

V. Phone/Fax

Practice location:
  • Phone: 601-984-6525
  • Fax: 601-815-1722
Mailing address:
  • Phone: 601-984-6525
  • Fax: 601-815-1722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number21392
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: