Individual provider Active NPI

Daniel Bergman, MD

  • MOHS-Micrographic Surgery Physician
  • Vestavia Hills, AL
National Provider Identifier
1053843169
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
42338 Issued in AL
Practice address
1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750
Phone
(205) 379-0900
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 42338 AL
Internal Medicine Physician 207R00000X 56583 AZ
Internal Medicine Physician 207R00000X R76285 AZ
MOHS-Micrographic Surgery Physician 207ND0101X 42338 AL Primary

Addresses

Primary practice location

1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750

Mailing address

1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750
Phone (205) 379-0900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbergman@eliteskin.health Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608000666 AL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4587933510 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Loma Linda University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Skin Cancer and Aesthetic Center LLCGroup PAC ID 1153850607, 4 clinicians

Practice addresses (Care Compare)

1360 Montgomery Hwy
Suite 114
Vestavia Hills, AL 35216-2750
Phone (205) 379-0900

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as apm
Quality
80.18
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
87.71
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision107
Removal of skin lesions359
Removal of skin cancer443
Removal of nail tissue1-10
Removal or shaving of skin growth17
Skin biopsy239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42338ALMDMOHS-Micrographic Surgery Physician
56583AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Jul 1, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2022 Accepting new patients
Aqua Dermatology of Alabama PC Dermatology CurrentSince Jul 1, 2021 Accepting new patients
Alabama Skin Cancer & Aesthetic Center LLC Dermatology CurrentSince Jan 1, 2025 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Jul 1, 2022 Accepting new patients
Cutaneous Oncology & Surgery Center, LLC PastSince May 1, 2021 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

7201 Copperfield Dr
Montgomery, AL 36117
Phone (205) 379-0900

1360 Montgomery Hwy
Ste 114
Vestavia Hills, AL 35216
Phone (205) 379-0900

1940 Stonegate Dr
Ste 140
Vestavia Hls, AL 35242
Phone (205) 968-3919

1940 Stonegate Dr
Ste 130
Vestavia Hls, AL 35242
Phone (205) 451-9481

Interoperability endpoints

  • Direct secure messaging: dbergman@direct.uabmedicine.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1053843169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MONTGOMERY HWY STE 114",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162750",
            "telephone_number": "205-379-0900",
            "fax_number": "205-238-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MONTGOMERY HWY STE 114",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162750",
            "telephone_number": "205-379-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "42338",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "56583",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R76285",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "42338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbergman@eliteskin.health",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1360 Montgomery Hwysuite 114",
            "address_2": "Suite 114",
            "city": "Vestavia",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.