James R Bergeron M D a Med Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

009227 Issued in LA

Legal business name

JAMES R BERGERON M D A MED CORP

Practice address

2751 Albert L Bicknell Dr
Suite 2-D
Shreveport, LA 71103-3920

Phone

(318) 221-2623

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

James R Bergeron, M.D.

Title

President

Phone

(318) 221-2623

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Sherrod Haynie, M.D.

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1679517148
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770645376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT BICKNELL DRIVE",
            "address_2": "SUITE 2-D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71103",
            "telephone_number": "318-221-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR",
            "address_2": "SUITE 2-D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033920",
            "telephone_number": "318-221-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R BERGERON M D A MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-221-2623",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "009227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1440655",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaroslav Andrew Jakymec, DO
• Jalenta Futures LLC
• Tiffany Williams Jamerson
• James G. Howell MD and Willis-Knighton Medical Center
• James May MD and Willis-Knighton Medical Center
• James Sikes DMD MD and Caroline Garcia DDS MD LLC
• James W. Sikes, Jr. DMD, MD, LLC
• James W. Thompson MD and Willis-Knighton Medical Center
• Mary James-Thomas
• Caroline James

• Specialist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.