Active NPI
Christian Michael Bertrand, FNP-C
- Family Nurse Practitioner
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10095
- Practice address
- 2770 3Rd Ave Ste 110
Lake Charles, LA 70601-0404 - Phone
- (337) 494-4747
- Fax
- (337) 494-4773
- NPI assigned
- Oct 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP10095 | LA | Primary |
Addresses
Primary practice location
2770 3Rd Ave Ste 110
Lake Charles, LA 70601-0404
Mailing address
PO Box 122425 Dept 2425
Dallas, TX 75312-2425
Phone (337) 494-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Patriot St
Suite 102
Lafayette, LA 70508-6831
Phone (337) 602-8686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP10095 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Health, LLC | Current | Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current | Accepting new patients | |
| Calcasieu Urgent Care LLC | Current | Accepting new patients | |
| Rosewood Rehabilitation, LLC | Past | Accepting new patients |
Locations
4002 Jackson St
#B
Alexandria, LA 71303
Phone (337) 288-2865
1750 Elton Rd
Jennings, LA 70546
Phone (337) 329-6565
105 Patriot St
Ste 102
Lafayette, LA 70508
Phone (337) 602-8686
814 W McNeese St
Ste 100
Lake Charles, LA 70605
Phone (337) 562-3200
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Lake Charles, LA
- NPI 1831611508
-
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
-
- Physical Therapy Clinic/Center
- Lafayette, LA
- NPI 1528104882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1558838615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122425 DEPT 2425",
"city": "DALLAS",
"state": "TX",
"postal_code": "753122425",
"telephone_number": "337-494-4747",
"fax_number": "337-494-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 3RD AVE STE 110",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706010404",
"telephone_number": "337-494-4747",
"fax_number": "337-494-4773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAND",
"first_name": "CHRISTIAN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-26",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP10095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.