Individual
EDMOND X BERGERON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
606MP
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
606MP
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1660841
—
LA
Enumeration date
10/20/2006
Last updated
10/22/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up