KIMBERLY BERGERON (NPI# 1609177161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609177161 |
| Entity Type | Individual |
| Full Name | KIMBERLY BERGERON |
| Credential | PA-C |
| Practice Address |
7301 Hennessey Blvd. Suite 200 Baton Rouge LA 70808 |
| Mailing Address |
Po Box 98035 Baton Rouge LA 70898 |
| Practice Telephone | 2257660050 |
| Practice Fax Number | 2257661499 |
| Mailing Telephone | 2257660050 |
| Mailing Fax Number | 2257661499 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2014-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.741 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275867590 | Kimberly Bergeron | Nurse Practitioner | 3611 N Campbell Ave, Tucson, AZ 85719-1534 | 2009-09-21 |
| 1629051966 | Kimberly G. Bergeron | Obstetrics & Gynecology | 730 Cool Springs Blvd, Franklin, TN 37067-7289 | 2005-11-21 |
| 1043291370 | Kimberly C Bergeron | Allergy & Immunology | 1622 Westgate Cir, Brentwood, TN 37027-8019 | 2005-11-14 |
| Street Address |
7301 HENNESSEY BLVD. SUITE 200 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
| 1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
| 1194148437 | Margot Lebourgeois | Physician Assistant | 7777 Hennessy Blvd Ste 700, Baton Rouge, LA 70808-4300 | 2014-01-22 |
| 1477995645 | Ashley Raburn | Physician Assistant | 7444 Picardy Ave Ste A, Baton Rouge, LA 70808-4331 | 2013-07-29 |
| 1487968327 | Ronald Ray Torres Jr. | Physician Assistant | 10059 N. Reiger Road, Baton Rouge, LA 70809 | 2010-08-03 |
| 1639294564 | Sarah Ponder | Physician Assistant | 7777 Hennessy Blvd Ste 5000, Baton Rouge, LA 70808-4368 | 2007-03-20 |
| 1033113980 | Vickie Sue Rice | Physician Assistant | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2005-06-09 |
| 1124635164 | Marissa Tana Burnett | Physician Assistant | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2020-09-24 |
| 1053973750 | Laura Clesi Knight | Physician Assistant | 7777 Hennessy Blvd Ste 701, Baton Rouge, LA 70808-4370 | 2019-07-02 |
| 1912491234 | Sabrina Grantham | Physician Assistant | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2018-06-20 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on KIMBERLY BERGERON.
| 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.