Individual provider Active NPI

Zachary Bergman

  • Ophthalmology Physician
  • Farmington Hills, MI
National Provider Identifier
1104321819
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
65148 Issued in TN
Practice address
29990 Northwestern Hwy
Farmington Hills, MI 48334-3225
Phone
(248) 538-6463
NPI assigned
Mar 26, 2018
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 65148 TN Primary

Addresses

Primary practice location

29990 Northwestern Hwy
Farmington Hills, MI 48334-3225

Mailing address

29990 Northwestern Hwy
Farmington Hills, MI 48334-3225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230731003066 MI Practitioner - Ophthalmology 7113273160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porretta and Bergman MD, PCGroup PAC ID 2466593025, 4 clinicians

Practice addresses (Care Compare)

29990 Northwestern Hwy
Farmington Hills, MI 48334-3225
Phone (248) 538-6463

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery120

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Porretta & Bergman MD, PC Ophthalmology CurrentSince Sep 1, 2023 Accepting new patients
Porretta & Bergman MD, PC Ophthalmology CurrentSince Sep 1, 2023 Accepting new patients

Locations

29990 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-6463

2300 Haggerty Rd
Ste 1100
West Bloomfield, MI 48323
Phone (248) 538-6463

Interoperability endpoints

  • Direct secure messaging: zbergman@bergmanporretta.emadirect.md
  • Direct secure messaging: zbergman1117306@direct.hfhs.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1104321819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29990 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29990 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343225",
            "telephone_number": "248-538-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "65148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.