DIANE E BERGERON NP NPI 1306018148

NPI Information

NPI: 1306018148
Provider Name: DIANE E BERGERON, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1111 MEDICAL PLAZA DR
250
THE WOODLANDS, TX
ZIP 77380
Phone: (281) 296-8788
Get Directions

Diane E Bergeron, NP is an adult health nurse practitioner in The Woodlands, TX. Diane E Bergeron, NP NPI is 1306018148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 MEDICAL PLAZA DR
250
THE WOODLANDS, TX
ZIP 77380-240
Phone: (281) 296-8788
Fax: (281) 419-1291

The NPI 1306018148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 7/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	626794	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	193009102	MEDICAID	TEXAS
2	154240902	MEDICAID	TEXAS
3	8K6022	MEDICARE PIN	TEXAS
4	8K8782	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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