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KATEY PONDER BERGERON PA-C NPI 1538366828


NPI Information

NPI: 1538366828
Provider Name: KATEY PONDER BERGERON, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Organization: OCHSNER CLINIC LLC

PECOS Registration: Yes

Address:
5000 HENNESSY BLVD
BATON ROUGE, LA
ZIP 70808
Phone: (225) 765-8853
Get Directions

Katey Ponder Bergeron, PA-C is a physician assistant in Baton Rouge, LA with 18 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Katey Ponder Bergeron, PA-C NPI is 1538366828. 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:

5000 HENNESSY BLVD
BATON ROUGE, LA
ZIP 70808-375
Phone: (225) 765-8853
Fax: (225) 765-1700

The NPI 1538366828 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 6/29/2007 and was last updated on 5/20/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant200119LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104655037MEDICAIDMISSISSIPPI
21369497MEDICAIDLOUISIANA
35DX80PH13MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.