DR. JAMES RONALD BERGERON (NPI# 1336182377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336182377 |
| Entity Type | Individual |
| Full Name | DR. JAMES RONALD BERGERON |
| Credential | M.D. |
| Practice Address |
2751 Albert L Bicknell Dr Ste 2d Shreveport LA 71103-3939 |
| Mailing Address |
2751 Albert L Bicknell Dr Suite 2-d Shreveport LA 71103-3920 |
| Practice Telephone | 3182226547 |
| Mailing Telephone | 3182212623 |
| Mailing Fax Number | 3184249850 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2017-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 09227 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1101915 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741600 | James Paul Bergeron | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-10-14 |
| Street Address |
2751 ALBERT L BICKNELL DR STE 2D |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823596 | Wk North Orthopedic Clinic | Orthopaedic Surgery | 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 | 2005-12-28 |
| 1104374099 | Britney Brown | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 5c, Shreveport, LA 71103-3920 | 2016-09-20 |
| 1831566777 | Summer Leigh Robin | Nurse Practitioner | 2751 Albert L Bicknell Dr, Shreveport, LA 71103-3920 | 2015-08-26 |
| 1740665694 | Jennifer Michelle Bigbee | Physician Assistant | 2751 Albert L Bicknell Dr, Shreveport, LA 71103-3920 | 2015-07-21 |
| 1235511981 | Chase C White | Nurse Practitioner | 2751 Albert L Bicknell Dr, Suite 3c, Shreveport, LA 71103-3920 | 2015-06-18 |
| 1053705574 | Wellness Center for Skin Therapy LLC | Nurse Practitioner | 2751 Albert L Bicknell Dr, Suite 1a, Shreveport, LA 71103-3920 | 2015-03-23 |
| 1295123644 | Melissa L Lynn Md Apmc | Internal Medicine | 2751 Albert L Bicknell Dr, Suite 3c, Shreveport, LA 71103-3920 | 2015-01-07 |
| 1225433865 | Courtney Moseley | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103-3920 | 2014-10-24 |
| 1831527266 | Wk Robotic and Laparoscopic Surgery Clinic | Surgery | 2751 Albert L Bicknell Dr, Suite 3a, Shreveport, LA 71103-3920 | 2013-10-22 |
| 1427484534 | Dustin Greg Allen | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 4a, Shreveport, LA 71103-3920 | 2013-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194936849 | Steven Cooper Heard | Dermatology | 9007 Ellerbe Rd., Shreveport, LA 71106 | 2007-05-24 |
| 1548243793 | Donald I Posner | Dermatology | 845 Olive St, Shreveport, LA 71104-2101 | 2005-11-22 |
| 1023005758 | Dermatology and Skin Surgery Apmc | Dermatology | 9007 Ellerbe Rd, Shreveport, LA 71106-6724 | 2005-09-27 |
| 1568464980 | Paul Ratcliff Winder | Dermatology | 742 Pierremont Rd, Shreveport, LA 71106-2212 | 2005-08-15 |
| 1588806970 | Wk North Dermatology Clinic | Dermatology | 2751 Albert L Bicknell Dr, Suite 2-d, Shreveport, LA 71103-3920 | 2009-03-31 |
| 1730335753 | Sarah Grace Baker | Dermatology | 2751 Albert L Bicknell Dr, Suite 2-d, Shreveport, LA 71103-3920 | 2008-08-10 |
| 1881854883 | Elizabeth L Clemons | Dermatology | 9007 Ellerbe Rd, Shreveport, LA 71106-6724 | 2008-06-12 |
| 1881889079 | Winder-turk-jones Dermatology Apc | Dermatology | 742 Pierremont Rd, Shreveport, LA 71106-2212 | 2007-09-11 |
| 1699711978 | Patrick Richard Carrington | Dermatology | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-06-22 |
| 1679517148 | Laura Sherrod Haynie | Dermatology | 2751 Albert L Bicknell Dr, Suite 2-d, Shreveport, LA 71103-3920 | 2006-06-15 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.