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LORI GAUTREAUX BERGERON LLC
NPI 1912369851
Internal Medicine in Lafayette, LA

Active since March 21, 2016CLIA 19D2150340 · Waiver
4640 W CONGRESS ST, LAFAYETTE, LA 70506(337) 678-4401(866) 393-8293 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 24, 2024, Mar 7, 2024, Aug 7, 2023 and 2 more (5 updates tracked since 2016).

About Lori Gautreaux Bergeron Llc NPPES

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

LORI GAUTREAUX BERGERON LLC (NPI 1912369851) is a healthcare organization registered as an internal medicine in Lafayette, Louisiana and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Lori N Gautreaux, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1912369851
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLORI GAUTREAUX BERGERON LLC
Location Address4640 W CONGRESS STLafayette, LA 70506-6622
Mailing Address4640 W Congress StLafayette, LA 70506-6622 · (337) 678-4401 · Fax (866) 393-8293
Phone(337) 678-4401
Fax(866) 393-8293
Organization SubpartNo
Authorized OfficialLori N GautreauxMd/owner · (337) 678-4401
Enumeration DateMarch 21, 2016
Last NPPES UpdateJune 24, 20245 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1912369851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4640 W CONGRESS ST, Lafayette, LA 70506
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori Gautreaux Bergeron Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lori Gautreaux Bergeron LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lori Gautreaux, M.D.
Internal Medicine
NPI 1942576855
4640 W CONGRESS ST
Lafayette, LA 70506
(337) 678-4401
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2150340

Lori Gautreaux Bergeron, LLC · Lafayette, LA
Active · expires Jun 21, 2028
CLIA Number19D2150340
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorLori N. Gautreaux
Laboratory Phone(337) 678-4401
Laboratory LocationLori Gautreaux Bergeron, LLC4640 West Congress St, Lafayette, LA 70506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lori Gautreaux Bergeron LLC's NPI number?

The NPI number for Lori Gautreaux Bergeron LLC is 1912369851. It was assigned to this organization in the NPPES registry on March 21, 2016.

Where is Lori Gautreaux Bergeron LLC located?

Lori Gautreaux Bergeron LLC is located at 4640 W Congress St, Lafayette, LA 70506. The listed phone number is (337) 678-4401.

What is Lori Gautreaux Bergeron LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lori Gautreaux Bergeron LLC enrolled in Medicare?

Yes. Lori Gautreaux Bergeron LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lori Gautreaux Bergeron LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lori Gautreaux Bergeron LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lori Gautreaux Bergeron LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2150340) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lori Gautreaux Bergeron LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Lori Gautreaux Bergeron LLC 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 Lori Gautreaux Bergeron LLC was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.