NPIMap

Individual provider Active NPI

Suzanne E Bergin, DO

  • Internal Medicine Physician
  • Warrensburg, NY
National Provider Identifier
1346478658
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
266542 Issued in NY
Practice address
3767 Main St
Warrensburg, NY 12885-1890
Phone
(518) 623-2844
Fax
(518) 623-3416
NPI assigned
Jun 25, 2009
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 266542 NY Primary

Addresses

Primary practice location

3767 Main St
Warrensburg, NY 12885-1890

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other names 1

  • Suzanne E Wheeler Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzanne.bergin.1@1823.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130111000133 NY Practitioner - Internal Medicine 3375796832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

3767 Main St
Warrensburg, NY 12885-1837
Phone (518) 623-2844

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network CurrentSince Oct 29, 2012 Accepting new patients
Hudson Headwaters Health Network Internal Medicine Current Accepting new patients
Glens Falls Hospital Inc. Internal Medicine CurrentSince Apr 10, 2020 Accepting new patients
Glens Falls Hospital Inc CurrentSince Apr 10, 2020 Accepting new patients
Hudson Headwaters Health Network CurrentSince Oct 29, 2012 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients

Locations

79 North St
Granville, NY 12832
Phone (518) 642-0612

9 Carey Rd
Queensbury, NY 12804

3767 Main St
Warrensburg, NY 12885
Phone (518) 623-2844

Interoperability endpoints

  • Direct secure messaging: suzanne.bergin.1@1823.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1346478658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 MAIN ST",
            "city": "WARRENSBURG",
            "state": "NY",
            "postal_code": "128851890",
            "telephone_number": "518-623-2844",
            "fax_number": "518-623-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGIN",
        "first_name": "SUZANNE",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "266542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanne.bergin.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3767 Main St",
            "city": "Warrensburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128851890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "WHEELER",
            "middle_name": "E",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrensburg, NY

Sources for this page

Verify at the official NPI Registry.