Individual provider Active NPI

Nicole Anne Bergeron, M.D.

  • Emergency Medicine Physician
  • New Orleans, LA
National Provider Identifier
1598810574
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
023563 Issued in LA
Practice address
122 Sherwood Forest Dr
New Orleans, LA 70119-3717
Phone
(504) 486-3733
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 023563 LA Primary

Addresses

Primary practice location

122 Sherwood Forest Dr
New Orleans, LA 70119-3717

Mailing address

2021 Perdido St
New Orleans, LA 70112-1352
Phone (504) 903-3594

Other names 1

  • Mrs. Nicole Bergeron Karcher Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000860 LA Practitioner - Emergency Medicine 0648246165 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023563LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Emergency Group LLC Emergency Medicine CurrentSince Aug 5, 2013 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jun 1, 2013 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jun 1, 2013 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Van Meter Emergency Physicians Inc. Apmc Emergency Medicine CurrentSince Feb 1, 2012 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Keith Van Meter & Associates Past Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1598810574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 PERDIDO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121352",
            "telephone_number": "504-903-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SHERWOOD FOREST DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701193717",
            "telephone_number": "504-486-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "023563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KARCHER",
            "middle_name": "BERGERON",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.