Bridgette Marguerite Bergeron, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

116488 Issued in TX

Practice address

5509 Pleasant Valley Dr Ste 50
Plano, TX 75023-5225

Phone

(469) 443-6025

NPI assigned

Feb 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bridgette Marguerite Horak Former name

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1497454441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 LONESOME DOVE TRL",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987977",
            "telephone_number": "469-777-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 PLEASANT VALLEY DR STE 50",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235225",
            "telephone_number": "469-443-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "BRIDGETTE",
        "middle_name": "MARGUERITE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "116488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT",
            "identifier": "116488",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGETTE",
            "last_name": "HORAK",
            "middle_name": "MARGUERITE",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lena Benton, LPC, RN
• Bentry No. 1, LLC
• Ritchie D. Beougher, D.D.S., P.A.
• Melanie D Berg, PA-C
• Laurie F Berger, MD
• Stephen Michael Bergin, MD, PHD
• Christina Bergren
• Nigist Mersha Berhane, AGNP-C
• Jeffrey B. Berkowitz, M.D.
• Laura H Berlin, M.S. SLP

• Massage Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.