Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Louis Chad Bergeron, PA

Individual provider Physician Assistant · NPI 1659399400

Louis Chad Bergeron, PA is a Physician Assistant in Deland, Florida. Qualified in 1998, 28 years ago. Practices with Tallahassee Orthopedic Clinic III Pl, a 550-clinician group and accepts Medicare assignment. Licensed in Florida and Louisiana.

Years since qualifying
28
Licensed in
FL, LA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

740 W Plymouth Ave
Deland, FL 32720-3282
Phone: (386) 734-9122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9101072 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA.A10345.RX (LA)

Record details

NPI number1659399400
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Tallahassee Orthopedic Clinic Iii Pl — 550 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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