Individual
GENE FRANCIS BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
225 DUNN ST, HOUMA, LA 70360-4413
(985) 876-0300
(985) 872-0317
Mailing address
2900 WESTFORK DR, STE 401, BATON ROUGE, LA 70827-0004
(337) 369-9213
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN082511 - AP03991
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114502
—
LA
01
—
P00070569
RR MEDICARE
LA
Enumeration date
07/07/2005
Last updated
04/26/2018
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