Provider Profile

Kennedy Bergren, PA-C

Unclaimed Profile

About Kennedy Bergren

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Specialty

Physician Assistant (Primary)

Credentials & Licensing

MN license15701
NPI1063361103
NPI issued01/22/2026

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Kennedy Bergren's specialty?

Kennedy Bergren is a physician assistant in Coon Rapids, MN. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Kennedy Bergren?

Kennedy Bergren is listed at 9055 Springbrook Dr Nw, Coon Rapids, MN 55433. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Kennedy Bergren?

The number on file is (763) 780-9155. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Kennedy Bergren?

Kennedy Bergren's National Provider Identifier is 1063361103. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Is Kennedy Bergren's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kennedy Bergren. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.