Active NPI
Gerald L Nickerson Jr MD Apmc
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lafayette, LA
National Provider Identifier
1518996271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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 DirectoryLocations
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.