Physician Assistant
KENNEDY BERGREN PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1063361103 · enumerated 2026-01-22 · record updated 2026-05-05. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 9055 SPRINGBROOK DR NW, COON RAPIDS, MN, 55433-5841 Google Maps Apple Maps OpenStreetMap
- Practice location 9055 SPRINGBROOK DR NW, COON RAPIDS, MN, 55433-5841 (763) 780-9155 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 15701 MN
In this directory
Locations and evidence
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Practice location
COON RAPIDS, MN, 554335841
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.