Individual provider Active NPI

Bertie Michael Bregman, M.D.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1114988110
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
213539 Issued in NY
Practice address
535 W 110TH St
New York, NY 10025-2086
Phone
(646) 764-0025
Fax
(646) 682-9758
NPI assigned
Mar 29, 2006
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 213539 NY Primary
Family Medicine Physician 207Q00000X 25MA11671800 NJ

Addresses

Primary practice location

535 W 110TH St
New York, NY 10025-2086

Mailing address

300 W 108TH St
Apartment 13B
New York, NY 10025-2757
Phone (646) 245-4448

Other practice location 1

349 3rd St
Jersey City, NJ 07302-5634
Phone (212) 280-4740

Other identifiers 4

IdentifierTypeStateIssuer
6780709-002OtherNYCIGNA PROVIDER NUMBER
P2176972OtherNYOXFORD PROVIDER NUMBER
213539-A52OtherNYHEALTHFIRST PROVIDER NUMB
98444OtherNYAETNA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061219000345 NY Practitioner - Family Practice 1658370739 Reassigns benefits to 1 organization
Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY
I20250904000477 NJ Practitioner - Family Practice 1658370739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westside Family Medicine PLLCGroup PAC ID 1456879451, 23 clinicians

Practice addresses (Care Compare)

349 3Rd St
Jersey City, NJ 07302-5634
Phone (212) 280-4740

535 W 110TH St
Apt 1E
New York, NY 10025-2021
Phone (212) 280-4740

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11671800NJMDFamily Medicine Physician
213539NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Medicine PLLC. Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Practice Associates Medical Group Family Medicine PastSince Jul 21, 2025 Accepting new patients
American Chiropractic Enterprise PLLC Past Accepting new patients

Locations

219 Driggs Ave
Brooklyn, NY 11222

322 Fairview Ave
Hudson, NY 12534
Phone (518) 828-3662

315 W 70th St
Apt 1B
New York, NY 10023
Phone (212) 787-2404

535 W 110th St
New York, NY 10025
Phone (212) 222-4700

535 W 110th St
Apt 1E
New York, NY 10025
Phone (212) 222-1180

55 E 87th St
Ste 1F
New York, NY 10128
Phone (212) 427-2131

598 Broadway
Fl 2
New York, NY 10012
Phone (212) 219-7716

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1114988110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 108TH ST",
            "address_2": "APARTMENT 13B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252757",
            "telephone_number": "646-245-4448",
            "fax_number": "646-682-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W 110TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252086",
            "telephone_number": "646-764-0025",
            "fax_number": "646-682-9758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 3rd St",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073025634",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "fax_number": "212-280-4740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREGMAN",
        "first_name": "BERTIE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "213539",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11671800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "6780709-002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER NUMBER",
            "identifier": "P2176972",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST PROVIDER NUMB",
            "identifier": "213539-A52",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "98444",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.