Organization Active NPI

Medplus Healthcare P.L.L.C.

Doing business as MedPlus Mobile Care

  • Primary Care Clinic/Center
  • Nederland, TX
National Provider Identifier
1033853593
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDPLUS HEALTHCARE P.L.L.C.
Doing business as
MedPlus Mobile Care
Practice address
3015 Nederland Ave Ste B
Nederland, TX 77627-7067
Phone
(409) 719-6035
NPI assigned
Apr 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Waylon Casey Bergeron, FNPNPI 1306209721
Title
Owner
Phone
(409) 719-6035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

3015 Nederland Ave Ste B
Nederland, TX 77627-7067

Mailing address

3015 Nederland Ave Ste B
Nederland, TX 77627-7067

Other names 1

  • MedPlus Mobile Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2276519Medplus Healthcare PLLC3015 Nederland Avenue, Suite B, Nederland, TX 77627Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

3015 Nederland Ave
Ste B
Nederland, TX 77627
Phone (409) 719-6035

3636 Professional Dr
Ste 2
Port Arthur, TX 77642
Phone (409) 719-6035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1033853593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 NEDERLAND AVE STE B",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 NEDERLAND AVE STE B",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277067",
            "telephone_number": "409-719-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS HEALTHCARE P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "WAYLON",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-719-6035",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPlus Mobile Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedPlus Mobile Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.