James R Bergeron M D A Med Corp in Shreveport - Specialist
James R Bergeron M D A Med Corp - NPI 1770645376
James R Bergeron M D A Med Corp is a Specialist in Shreveport, Louisiana. James R Bergeron M D A Med Corp practices all healthcare services and medical treatments related to Specialist. The NPI Number for James R Bergeron M D A Med Corp is 1770645376. The last update date is 2020-08-22.
James R Bergeron M D A Med Corp's current location address is 2751 Albert Bicknell Drive, Shreveport, Louisiana. You can contact this provider via phone number 3182212623. The mailing address for James R Bergeron M D A Med Corp is 2751 Albert Bicknell Drive, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | James R Bergeron M D A Med Corp |
|---|---|
| Address | 2751 Albert Bicknell Drive, Shreveport, Louisiana |
| Phone Number | 3182212623 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bergeron R James |
| Credentials | M.D. |
| Telephone Number | 3182212623 |
NPI Number Detail
| NPI Number | 1770645376 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2751 Albert Bicknell Drive |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 71103 |
| Phone Number | 3182212623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 9227 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1440655 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James R Bergeron M D A Med Corp by the Centers for Medicare & Medicaid Services?
The James R Bergeron M D A Med Corp has been assigned the NPI (National Provider Identifier) 1770645376 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where James R Bergeron M D A Med Corp's facilities are situated?
The facilities of James R Bergeron M D A Med Corp are physically located at the following address: 2751 Albert Bicknell Drive, Shreveport, LA, 71103.
What is the area of specialization for James R Bergeron M D A Med Corp, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for James R Bergeron M D A Med Corp is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When did James R Bergeron M D A Med Corp receive its 1770645376 assignment?
The James R Bergeron M D A Med Corp was assigned its 1770645376 on 2006-12-14, which is the date when this unique identifier was issued to the organization.
As of what date were the James R Bergeron M D A Med Corp's details last updated?
The information pertaining to the James R Bergeron M D A Med Corp, including its address, specialty, and other details, was most recently updated on 2020-08-22.