Lori Gautreaux Bergeron LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LORI GAUTREAUX BERGERON LLC

Practice address

4640 W Congress St
Lafayette, LA 70506-6622

Phone

(337) 678-4401

Fax

(866) 393-8293

NPI assigned

Mar 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lori N Gautreaux, MDNPI 1942576855

Title

MD/Owner

Phone

(337) 678-4401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFFAD

Practitioners 2

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

• Lori Nicole Gautreaux, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1942576855
  Medicare reassignment NPD Authorized official
• Halimo Ahmed Abdi, APRN

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1053041491
  NPD (past)

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1912369851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066622",
            "telephone_number": "337-678-4401",
            "fax_number": "866-393-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066622",
            "telephone_number": "337-678-4401",
            "fax_number": "866-393-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI GAUTREAUX BERGERON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "GAUTREAUX",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "337-678-4401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balbariella Lopez-Livings
• Aimee Broussard Lopez, MOT, LOTR
• Antonio J Lopez, PA
• Kacey Rae Lopez, PA
• Linda Ann Lopez, LCSW
• Kate Lorio, PHARMD
• William A Lorio, CRNA
• Leah Lormand, LCSW
• Los Anesthesia Services LLC
• Los Orthopaedic and Spine Surgery Center, LLC

• Internal Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.