Robert Paul Bergeron, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2427 Issued in LA

Practice address

1585 3Rd St
Ste 6119a
Fort Polk, LA 71146

Phone

(337) 531-1997

Fax

(337) 531-6506

NPI assigned

Sep 7, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386747764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 EAGLE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641922",
            "telephone_number": "985-876-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "address_2": "STE 6119A",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "71146",
            "telephone_number": "337-531-1997",
            "fax_number": "337-531-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Beck, RD, LDN
• Lizamara Bedolla, FNP-C
• Ann Marguerite Behrends, D.D.S.
• Mathias Orion Bell, LCSW
• Tadd William Berg
• Samson Bekele Beshia, PA-C
• Troy Louis Bidez, PA-C
• Robin Bisset, OTR/L
• Molly Black
• Tyrette Herrington Bodine, LCSW

• General Practice Dentistry in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.