Individual provider Active NPI

Andrew Joseph Bergeron, DO

  • Family Medicine Physician
  • Houma, LA
National Provider Identifier
1164051694
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
341438 Issued in LA
Practice address
8166 Main St
Houma, LA 70360-3404
Phone
(985) 873-4141
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 341438 LA Primary

Addresses

Primary practice location

8166 Main St
Houma, LA 70360-3404

Mailing address

1914 White Oaks St
Schriever, LA 70395-3422

Other practice location 1

1914 White Oaks St
Schriever, LA 70395-3422
Phone (985) 232-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807002657 LA Practitioner - Family PracticePractitioner - Hospitalist 2961850359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paeon Health Services Inc 55 clinicians

Practice addresses (Care Compare)

8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751

Hospital & facility affiliations

  • Terrebonne Homecare, Inc. Home health agency, Houma, LA, CCN 197585
  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation Family Medicine CurrentSince May 18, 2025 Accepting new patients
Paeon Health Services Inc CurrentSince Aug 1, 2024 Accepting new patients
University Medical Center Management Corporation CurrentSince May 18, 2025 Accepting new patients
Terrebonne Parish Hospital Service District #1 Current Accepting new patients
Terrebonne Parish Hospital Service District #1 Past Accepting new patients

Locations

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1164051694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 WHITE OAKS ST",
            "city": "SCHRIEVER",
            "state": "LA",
            "postal_code": "703953422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8166 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603404",
            "telephone_number": "985-873-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1914 White Oaks St",
            "address_purpose": "LOCATION",
            "city": "Schriever",
            "state": "LA",
            "postal_code": "703953422",
            "country_code": "US",
            "telephone_number": "985-232-6371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "341438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.