KIMBERLY BERGERON PA-C NPI 1609177161

NPI Information

  • NPI: 1609177161
  • Provider Name: KIMBERLY BERGERON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8080 BLUEBONNET BLVD STE 3400
    BATON ROUGE, LA
    ZIP 70810
  • Phone: (225) 442-3166

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NPI Details

Kimberly Bergeron, PA-C is a medical physician assistant in Baton Rouge, LA with 16 years of experience. Kimberly Bergeron, PA-C NPI is 1609177161. 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:

8080 BLUEBONNET BLVD STE 3400
BATON ROUGE, LA
ZIP 70810-827
Phone: (225) 442-3166
Fax: (225) 900-8653

The NPI 1609177161 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of upper spine, 6 or more views (HCPCS:72052)

The enumeration date for this NPI number is 11/15/2010 and was last updated on 11/13/2025.

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
1363AM0700XPhysician AssistantMedicalPA.200416LOUISIANAYes

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: 11/21/2025

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