Ly-Lan Bergeron, P.A.-C
NPI 1407861115 · Physician Assistant · Annandale, VA
Ly-Lan Bergeron, P.A.-C is a Physician Assistant provider in Annandale, VA (NPI 1407861115).
Provider details
- NPI number
- 1407861115
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0110001264 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2008-02-29
Frequently asked questions
- What is Ly-Lan Bergeron's NPI number?
- Ly-Lan Bergeron's National Provider Identifier (NPI) is 1407861115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ly-Lan Bergeron's specialty?
- Ly-Lan Bergeron is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ly-Lan Bergeron located?
- Ly-Lan Bergeron's practice location on file with NPPES is 6715 Little River Tpke, Annandale, VA 22003-3546.
- What is Ly-Lan Bergeron's phone number?
- The practice phone number listed in the NPPES registry for Ly-Lan Bergeron is (703) 914-3640.
- Is Ly-Lan Bergeron's NPI active?
- Yes — Ly-Lan Bergeron's NPI (1407861115) is active in the NPPES registry as of the last update on 2008-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.