Individual
JOHN BERCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2770 3RD AVE STE 350, LAKE CHARLES, LA 70601-0404
(337) 494-2750
(337) 494-2760
Mailing address
PO BOX 122309 DEPT 2309, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
322770
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
322770
LA
207RP1001X
Pulmonary Disease Physician
322770
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2463918
—
LA
01
—
322770
STATE LICENSE
LA
Enumeration date
03/19/2018
Last updated
02/12/2025
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