Individual provider · Type 1 NPI
Kimberly Bergeron, PA-C
Medical Physician Assistant · Baton Rouge, LA
NPI number
1609177161
Active
Practice location
8080 Bluebonnet Blvd Ste 3400
Baton Rouge, LA 70810-7827
Fax (225) 900-8653
Mailing address
8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA.200416 (LA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1609177161
Kimberly Bergeron, PA-C's National Provider Identifier is 1609177161, issued on Nov 15, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baton Rouge, LA. The record was last updated on Nov 13, 2025.