EDWARD C. BERGEN D.O. – NPI #1760454391
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

EDWARD BERGEN is a physician located in LAKE CHARLES, LA. NPPES has assigned the NPI number 1760454391 to EDWARD BERGEN on February 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 4 years ago on Mar 25, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDWARD BERGEN below.

NPI Profile for
EDWARD C. BERGEN

NPI Number
1760454391
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDWARD C. BERGEN
Credentials
D.O.
Primary location
1717 OAK PARK BLVD FL 2
LAKE CHARLES, LA 70601-8990
Phone: (337) 494-3278 Fax: (337) 494-3240
4 Other location(s):
122 W 4th St
Dequincy, LA 70633-3508
Phone: (337) 494-3278
Fax: (337) 494-3240
109 W 4th St
Deridder, LA 70634-4849
Phone: (337) 494-3278
Fax: (337) 494-3240
1322 Elton Rd Ste P
Jennings, LA 70546-4100
Phone: (337) 494-3278
Fax: (337) 494-3240
913 E Kent Dr
Sulphur, LA 70663-5007
Phone: (337) 527-3610
Fax: (337) 527-6063
Mailing address
PO BOX 122152
DEPT 2152
DALLAS, TX 75312-2152
Phone: (337) 494-2772 Fax: (337) 494-2928
Sole Proprietor
No
Updated
Certification Date
Mar 25, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 LA DO000438

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE - Graduated 2002
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
Affiliations
EDWARD BERGEN is affiliated with the following medical group(s):
  • HOSPITAL
    • BEAUREGARD MEMORIAL HOSPITAL
      600 S PINE STREET
      DERIDDER, LA 70634
    • LAKE CHARLES MEMORIAL HOSPITAL
      1701 OAK PARK BLVD
      LAKE CHARLES, LA 70601
    • WEST CALCASIEU CAMERON HOSPITAL
      701 EAST CYPRESS STREET
      SULPHUR, LA 70663

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