James R Bergeron M D A Med Corp

LBN: James R Bergeron M D A Med Corp
James R Bergeron M D A Med Corp is an health care organization with primary practice located at 2751 Albert L Bicknell Dr Suite 2-D, Shreveport LA 71103-3920. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. James R Bergeron M D A Med Corp can be contacted via phone (318) 221-2623, or through Bergeron, James R via phone (318) 221-2623.

Contact Information

Primary practice address
2751 Albert L Bicknell Dr Suite 2-D Shreveport LA 71103-3920
Phone: (318) 221-2623
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bergeron, James R Doctor of Medicine (MD)
Phone: (318) 221-2623

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 009227 Louisiana

Profile Details

NPI number 1770645376
LBN Legal business name James R Bergeron M D A Med Corp
DBA Doing business as
Authorized official Bergeron, James R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770645376 NPPES
Louisiana MEDICAID 1440655

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