Breanne Bergeon, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Live Oak, TX
NPI 1669358933 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1669358933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1215635 (TX)
- Practice address
- 12881 N Ih 35
Live Oak, TX 78233-2966 - Phone
- (210) 742-6555
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hillside Primary Care PLLC
Practice addresses (Care Compare)
2009 Pat Booker Rd
Universal City, TX 78148-3201
Phone (210) 742-6555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251103004145 | TX | Practitioner - Nurse Practitioner | 2466942024 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1215635 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillside Primary Care PLLC | Current |
Accepting new patients | |
| Heal Well Primary Care PC | Current |
Accepting new patients | |
| Complete Care Partners LLC | Past |
Accepting new patients | |
| Carefront Medical Group, PLLC | Past | Accepting new patients |
Locations
11671 Jollyville Rd
Ste 102
Austin, TX 78759
Phone (210) 463-4000
232 Brite Rd
Ste 117
Cibolo, TX 78108
Phone (210) 247-2248
840 E Redd Rd
Bldg 4
El Paso, TX 79912
Phone (915) 577-9003
1414 Sidney Baker St
Kerrville, TX 78028
2201 S W S Young Dr
Ste 111B
Killeen, TX 76543
Phone (254) 680-3376
2207 Clear Creek Rd
Ste 303
Killeen, TX 76549
Phone (254) 519-8921
1300 Dacy Ln
Kyle, TX 78640
Phone (512) 262-6020
12881 Toepperwein Rd
#I35
Live Oak, TX 78233
12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425
12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425
12881 N Interstate 35
Live Oak, TX 78233
Phone (210) 742-6552
741 Generations Dr
Ste 215
New Braunfels, TX 78130
26081 Bulverde Rd
San Antonio, TX 78261
4926 Golden Quail
Ste 104
San Antonio, TX 78240
Phone (210) 876-1451
1923 Culebra Rd
San Antonio, TX 78201
10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470
3710 Roosevelt Ave
San Antonio, TX 78214
5525 Blanco Rd
Ste 102
San Antonio, TX 78216
Phone (210) 464-6020
6430 Bandera Rd
Ste 98
San Antonio, TX 78238
Phone (210) 326-5454
519 N King St
Ste 101
Seguin, TX 78155
Phone (830) 272-0210
17766 Verde Pkwy
Ste 210
Selma, TX 78154
2009 Pat Booker Rd
Universal Cty, TX 78148
Phone (210) 659-4425
5253 Walzem Rd
Ste 2
Windcrest, TX 78218
Phone (210) 599-0456
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1215635 | TX | Yes |
Addresses
Primary practice location
12881 N Ih 35
Live Oak, TX 78233-2966
Mailing address
4510 N Loop 1604 E Apt 2501
San Antonio, TX 78247-2246
Phone (419) 351-5223
Other providers in Live Oak, TX
- Lauren Maritza Bell
- Jeremy Benjamin
- Olivia Franchesca Benson
- Mark Bentley
- Dayaneth Berdiel
- Randy N Bergman
- Angelia Colwell Berkowitz
- Felicia Kenyada Bermudez
- Angelina Bernal
- Alison J Berry
All providers in Live Oak, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.