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

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: July 19, 2026.

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
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

Other Identifiers 3

Medicaid1655724LA
Medicare ID-Type Unspecified5U957LA
Medicare UPINF96555LA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427174549, enumerated as an "organization" on March 21, 2007.

The provider is located at 4150 NELSON RD STE E1 LAKE CHARLES, LA 70605 and the phone number is (337) 474-2933.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.