Brooke Layne Bergeron

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11901 Issued in LA

Practice address

389 Highway 21 Ste 403
Madisonville, LA 70447-3441

Phone

(985) 792-5996

NPI assigned

Aug 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jones Haber LLCGroup PAC ID 1153528492, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jones Haber LLC

  • Physical Therapy Clinic/Center
  • Madisonville, LA
  • NPI 1316077191

  LA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1215769898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 HIGHWAY 21 STE 403",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473441",
            "telephone_number": "985-792-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 HIGHWAY 21 STE 403",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473441",
            "telephone_number": "985-792-5996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 W Minnesota Park Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704036149",
            "country_code": "US",
            "telephone_number": "985-549-1900",
            "fax_number": "985-549-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "BROOKE",
        "middle_name": "LAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Ahrons, PT
• Katherine E Alongi, DDS
• Mikayla Atkins
• Bear Medical Equipment LLC
• Constance Bellone, RN, CCRN-K, CCHC
• BFD Madisonville Associates LLC
• Bgdnp,LLC
• Bio-Medical Applications of Louisiana, LLC
• Gordon L Blundell Jr., MD
• Dawn Bordelon, MS, CCC/SLP

• All providers in Madisonville, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.