Richard Bergeron II, PMHNP, MSN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP09162 Issued in LA

Practice address

1014 W Tunnel Blvd
Houma, LA 70360-4050

Phone

(985) 851-1717

Fax

(985) 851-7183

NPI assigned

Jan 31, 2017

Last updated

Jun 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teche Action Board IncGroup PAC ID 0648163980, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teche Action Board Inc

  dba Teche Health @ Franklin

  • Federally Qualified Health Center (FQHC)
  • Franklin, LA
  • NPI 1174579262
  Medicare reassignment Care Compare group NPD
• Teche Action Board, Inc.

  dba Teche Health SBHC @ East St. John High

  • Federally Qualified Health Center (FQHC)
  • Reserve, LA
  • NPI 1255788428
  NPD
• Teche Action Board, Inc.

  dba Teche Health @ Sugarland

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1770308736
  NPD
• Teche Action Board Inc

  dba Teche Health @ Morgan City

  • Federally Qualified Health Center (FQHC)
  • Morgan City, LA
  • NPI 1124307566
  NPD (past)
• Teche Action Board, Inc.

  dba Teche Health @ Houma West

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1215974019
  NPD (past)
• Teche Action Board, Inc.

  dba Teche Health @ Thibodaux

  • Federally Qualified Health Center (FQHC)
  • Thibodaux, LA
  • NPI 1356767420
  NPD (past)
• Teche Action Board, Inc.

  dba Teche Health @ ST. James High School

  • Federally Qualified Health Center (FQHC)
  • Vacherie, LA
  • NPI 1649914763
  NPD (past)
• Teche Action Board, Inc.

  dba Teche Health @ Houma East

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1659319135
  NPD (past)
• Teche Action Board, Inc.

  dba Teche Health @ Gramercy

  • Federally Qualified Health Center (FQHC)
  • Gramercy, LA
  • NPI 1801433883
  NPD (past)

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1700323540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W TUNNEL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604050",
            "telephone_number": "985-851-1717",
            "fax_number": "985-851-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "RICHARD",
        "name_suffix": "II",
        "credential": "PMHNP, MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-31",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Gilcrease Bergeron, BCBA
• Gene Francis Bergeron, NP
• Jason P Bergeron Sr., PD
• Megan Lindsey Bergeron, PMHNP
• Nicollette Bergeron
• Sarah Hays Bergeron, RN
• Shawla Bergeron, LOTR
• Ted Patrick Bergeron
• Tori Nicole Bergeron
• Carolyn W Bernard, MSW, CSW

• Psychiatric/Mental Health Nurse Practitioner in Houma, LA
• Providers in Houma, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.

Verify at the official NPI Registry.