Kenneth Paul Bergeron, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN083404 Issued in LA

Practice address

539 E Prudhomme St
Opelousas, LA 70570-6499

Phone

(337) 943-7128

NPI assigned

Sep 20, 2005

Last updated

Dec 14, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Opelousas General Health System Physician PracticesGroup PAC ID 9830340694, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Opelousas General Health System Hospital, Opelousas, LA, CCN 190017

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Opelousas General Health System Physician Practices

  • Family Medicine Physician
  • Opelousas, LA
  • NPI 1295098747
  Medicare reassignment Care Compare group NPD
• Opelousas General Health System

  dba Physician Practices

  • Surgery Physician
  • Opelousas, LA
  • NPI 1275794679
  NPD
• Doctors Anesthesia

  • Anesthesiology Physician
  • Opelousas, LA
  • NPI 1710980065
  NPD (past)
• Opelousas General Health System Physician Practices

  • Family Medicine Physician
  • Opelousas, LA
  • NPI 1003164054
  NPD (past)

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

• Opelousas General Hospital Authority

  • General Acute Care Hospital
  • Opelousas, LA
  • NPI 1447230388
  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1508852187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705710459",
            "telephone_number": "337-849-5315",
            "fax_number": "318-442-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 E PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706499",
            "telephone_number": "337-943-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "KENNETH",
        "middle_name": "PAUL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN083404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1620513",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Wayne Basile, MD
• Beacon Behavioral Outpatient - Opelousas LLC
• Carol Pratt Becker, MD
• Laykin Bellard
• Julia Ben
• Kathryn Jill Bernard, PHARMD
• Olivia Christine Besson, PA-C
• Talliyah Biagas
• Felicia Bias
• Tina Marie Bieber, PD

• Certified Registered Nurse Anesthetist in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.