Organization Active NPI

Gerald L Nickerson Jr MD Apmc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lafayette, LA
National Provider Identifier
1518996271
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
GERALD L NICKERSON JR MD APMC
Practice address
501 W Saint Mary Blvd
Ste 100
Lafayette, LA 70506-4600
Phone
(337) 234-1700
Fax
(337) 234-7500
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Gerald L Nickerson Jr., MD
Title
Owner
Phone
(337) 234-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

501 W Saint Mary Blvd
Ste 100
Lafayette, LA 70506-4600

Mailing address

PO Box 83188
Baton Rouge, LA 70884-3188
Phone (337) 234-1700

National Provider Directory

National Provider Directory

Locations

501 W Saint Mary Blvd
Ste 100
Lafayette, LA 70506
Phone (337) 234-1700

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1518996271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83188",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708843188",
            "telephone_number": "337-234-1700",
            "fax_number": "337-234-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W SAINT MARY BLVD",
            "address_2": "STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064600",
            "telephone_number": "337-234-1700",
            "fax_number": "337-234-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD L NICKERSON JR MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NICKERSON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-234-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.