# REGIONAL PHYSICIANS NETWORK-LAKE CHARLES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912972886
- **Authorized official:** DR. SCOTT E BERGSTEDT M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (337) 475-8429

## Contact information

- **Practice address:** 1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
- **Practice address phone:** (337) 475-8429
- **Mailing address:** PO BOX 4610, LAKE CHARLES, LA 70606-4610
- **Mailing address phone:** (337) 312-1446
- **Mailing address fax:** (337) 312-1490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 04/29/2014