Tabetha Bergeron, PA-C
Tabetha Bergeron, PA-C is a Physician Assistant in Grand Rapids, MI, registered under NPI 1003228925.
Getting there
Here is what surrounds this office in Grand Rapids, based on OpenStreetMap data collected Sep 12, 2026. Parking is available about 0.24 mi away. The nearest transit stop is 0.43 mi away. A pharmacy sits 0.31 mi from the entrance (CVS Pharmacy), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 0.21 mi away.
Getting here and what is nearby
Restaurant Domino's 144 ft ~1 min
1335 Lake Drive Southeast, Grand Rapids 49506
Su-Th 10:00-01:00; Fr-Sa 10:00-03:00
Restaurant Matchbox Diner & Drinks 178 ft ~1 min
1345 Lake Drive Southeast, Grand Rapids 49506
Restaurant El Cerrito Cocina Mexicana 451 ft ~2 min
1400 Lake Drive Southeast, 49506
Mo-Sa 11:00-22:00; Su 11:00-21:00
Parking 578 ft ~3 min
Coffee That Early Bird 694 ft ~3 min
Coffee That Early Bird 726 ft ~3 min
1445 Lake Drive Southeast, Grand Rapids 49506
Coffee Brown Butter Creperie and Cafe 0.21 mi ~5 min
1436 Wealthy Street Southeast, Grand Rapids 49506
Parking Eastown Hub Parking Lot 0.21 mi ~5 min
Parking 0.24 mi ~5 min
Pharmacy CVS Pharmacy 0.31 mi ~7 min
1550 Lake Drive Southeast, Grand Rapids 49506
Mo-Fr 08:00-21:00; Sa 09:00-18:00; Su 10:00-18:00
Convenience AGO 0.35 mi ~7 min
1560 Lake Drive Southeast, Grand Rapids 49506
Gas station Citgo 0.35 mi ~7 min
1560 Lake Drive Southeast, Grand Rapids 49506
Convenience Mi Bella Guatemala 0.40 mi ~9 min
1163 Fulton Street East, Grand Rapids 49503
Grocery Family Fare 0.42 mi ~9 min
Transit 0.43 mi ~9 min
Grocery Wealthy Market 0.43 mi ~9 min
1012 Wealthy Street Southeast, Grand Rapids 49506
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5601006952 | MI | Physician Assistant primary |
This provider holds licence 5601006952 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 8426272972
- Enrollment ID
- I20140624001308
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Physician Assistant covers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003228925 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 27, 2014 |
| Last updated | Jun 12, 2024 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | PA-C |
| Practice address |
4069 LAKE DR SE Grand Rapids, MI 49546 (616) 267-7469 |
| Mailing address |
100 MICHIGAN ST NE MC 845 Grand Rapids, MI 49503 |
| Other names |
Tabetha Tenney Former Legal Business Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 2 | 8 | 9 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 2 | 7 | 9 | 4 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.