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EDMOND X BERGERON III M.P.
NPI 1235211798
Psychologist - Prescribing (Medical) in New Iberia, LA

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
806 JEFFERSON TER, NEW IBERIA, LA 70560(337) 365-4945 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2019, Oct 16, 2019, Sep 3, 2019 and 1 more (4 updates tracked since 2017).

About Edmond X Bergeron Iii M.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDMOND X BERGERON III M.P. (NPI 1235211798) is an individual prescribing (medical) provider in New Iberia, Louisiana, licensed in Louisiana (606MP) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1235211798
Entity TypeIndividualMale
Primary Taxonomy103TP0016X
Provider Legal NameEDMOND X BERGERON IIICredential: M.P.
Location Address806 JEFFERSON TERNew Iberia, LA 70560-5727
Mailing Address806 Jefferson TerNew Iberia, LA 70560-5727 · (337) 365-4945 · Fax (337) 376-6860
Phone(337) 365-4945
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 20, 2006
Last NPPES UpdateOctober 22, 20194 updates tracked since enumeration
✔ NPI 1235211798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in LA · 606MP
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Also ListedPsychologistTaxonomy 103T00000X · License 606MP (LA)
806 JEFFERSON TER, New Iberia, LA 70560
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Secondary Practice Locations 4

Location 1317 Dernier StSaint Martinville, LA 70582-3809 · Phone (337) 342-2566
Location 21009 CHARITY STAbbeville, LA 70510 · Phone (337) 893-3443
Location 31004 Surrey StLafayette, LA 70501-6143 · Phone (337) 456-6768 · Fax (337) 456-8690
Location 43909 Avenue Bonne TerreNew Iberia, LA 70563-3057 · Phone (337) 322-0455 ext. 2144 · Fax (337) 373-0129

Other Identifiers 1

Medicaid1660841LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edmond X Bergeron Iii M.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224093000
PECOS Enrollment IDI20041122000003
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JONATHAN A SEGHORN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
806 JEFFERSON TER
NEW IBERIA, LA 70560
Iberia Parish (337) 365-4945
CHANTE MARIE CALAIS M.D.
Family Medicine
806 JEFFERSON TER
NEW IBERIA, LA 70560
Iberia Parish (373) 654-9453
GRANT PEARCE REGGIO DDS
Dentist
806 JEFFERSON TER
NEW IBERIA, LA 70560
Iberia Parish (337) 365-4945
REGINALD BOUTTE
Pharmacist
806 JEFFERSON TER
NEW IBERIA, LA 70560
Iberia Parish (337) 376-6868
MR. SCOTTY A ARCENEAUX
Counselor (Professional)
806 JEFFERSON TER
NEW IBERIA, LA 70560
Iberia Parish (337) 365-4945
ELIZABETH VIATOR RDN
Dietitian, Registered
806 JEFFERSON TER
NEW IBERIA, LA 70560
Iberia Parish (337) 365-4945
MS. EMILY KOSTELECKY DMDI
Dentist
806 JEFFERSON TER
NEW IBERIA, LA 70560
Iberia Parish (337) 365-4945
MRS. CARMEN LYNETTE SOLOMON-BROWN FNP
Nurse Practitioner (Family)
806 JEFFERSON TER
NEW IBERIA, LA 70560
Iberia Parish (337) 365-4945

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmond Bergeron's NPI number?

The NPI number for Edmond Bergeron is 1235211798. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Edmond Bergeron located?

Edmond Bergeron practices at 806 Jefferson Ter, New Iberia, LA 70560. The listed phone number is (337) 365-4945.

What is Edmond Bergeron's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Edmond Bergeron enrolled in Medicare?

Yes. Edmond Bergeron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edmond Bergeron accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Edmond Bergeron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edmond Bergeron was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.