Brian Bergeron, NP in Los Angeles, CA - Medicare Nurse Practitioner

Brian Bergeron, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. His current practice location is 127 S San Vicente Blvd Ste A3600, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 423-3851.

Brian Bergeron is licensed to practice in California (license number 95037713) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306239660.

Contact Information

	Brian Bergeron, NP
	127 S San Vicente Blvd Ste A3600, Los Angeles, CA 90048-3311
	(310) 423-3851
	(310) 423-3522

Map and Direction

Provider's Profile

Full Name	Brian Bergeron
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	127 S San Vicente Blvd Ste A3600, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306239660
Provider Enumeration Date: 03/11/2015
Last Update Date: 01/26/2026

Medicare PECOS Information:

PECOS PAC ID: 9032439302
Enrollment ID: I20150528000550

Medical Identifiers

Medical identifiers for Brian Bergeron such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306239660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN2275289 (Massachusetts)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95037713 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Bergeron allows following entities to bill medicare on his behalf.

Entity Name	Pratt Surgical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912944182 PECOS PAC ID: 4486546082 Enrollment ID: O20040329000139

Entity Name	Pratt Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275570319 PECOS PAC ID: 3375515661 Enrollment ID: O20040807000255

Entity Name	Cardiovascular Center At Tufts Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447764253 PECOS PAC ID: 3870857816 Enrollment ID: O20180430000179

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Bergeron is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brian Bergeron, NP 4140 W 190th St, Torrance, CA 90504-5513 Ph: (310) 423-3851	Brian Bergeron, NP 127 S San Vicente Blvd Ste A3600, Los Angeles, CA 90048-3311 Ph: (310) 423-3851

Reviews and Comments

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Brian Bergeron, NP - Medicare Nurse Practitioner in Los Angeles, CA