JENNETTE BERGSTEDT MD LLC
NPI 1427174549
Clinic/Center - Medical Specialty in Lake Charles, LA

Q: What is Jennette Bergstedt MD LLC's NPI number?

The NPI number for Jennette Bergstedt MD LLC is 1427174549. It was assigned to this organization in the NPPES registry on March 21, 2007.

Q: What is Jennette Bergstedt MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since March 21, 2007

4150 NELSON RD STE E1, LAKE CHARLES, LA 70605(337) 474-2933(337) 474-5283 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jennette Bergstedt Md Llc NPPES

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

JENNETTE BERGSTEDT MD LLC (NPI 1427174549) is a healthcare organization registered as a medical specialty in Lake Charles, Louisiana and active in the NPI registry since March 2007. The organization lists Jennette Sepulvado Bergstedt, Owner, as its authorized official.

NPPES Registry Identity

NPI1427174549

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameJENNETTE BERGSTEDT MD LLC

Location Address4150 NELSON RD STE E1Lake Charles, LA 70605-4133

Mailing Address4150 Nelson Rd Ste E1Lake Charles, LA 70605-4133 · (337) 474-2933 · Fax (337) 474-5283

Phone(337) 474-2933

Fax(337) 474-5283

Organization SubpartNo

Authorized OfficialJennette Sepulvado BergstedtOwner · (337) 474-2933

Enumeration DateMarch 21, 2007

Last NPPES UpdateJune 26, 2008

✔ NPI 1427174549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in LA · MD.021307

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

4150 NELSON RD STE E1, Lake Charles, LA 70605

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Other Identifiers 3

Medicaid1655724LA

Medicare ID-Type Unspecified5U957LA

Medicare UPINF96555LA

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 Jennette Bergstedt MD LLC's NPI number?

The NPI number for Jennette Bergstedt MD LLC is 1427174549. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Jennette Bergstedt MD LLC located?

Jennette Bergstedt MD LLC is located at 4150 Nelson Rd Ste E1, Lake Charles, LA 70605. The listed phone number is (337) 474-2933.

What is Jennette Bergstedt MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Jennette Bergstedt MD LLC was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.