Individual provider Active NPI

Christopher Andrew Bergen, DPM

  • Podiatrist
  • Atlanta, GA
National Provider Identifier
1386208874
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001517 Issued in GA
Practice address
550 Peachtree St. NE
Ste 1960
Atlanta, GA 30308-2225
Phone
(404) 589-1330
Fax
(404) 589-1387
NPI assigned
Apr 30, 2019
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001517 GA Primary

Addresses

Primary practice location

550 Peachtree St. NE
Ste 1960
Atlanta, GA 30308-2225

Mailing address

PO Box 108
Dallas, GA 30132-0003
Phone (678) 426-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240408000793 NC Practitioner - Podiatry 8820453004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue77
Removal of nail tissue12
Removal or shaving of skin growth23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
829NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jun 30, 2025 Accepting new patients
Charlotte Limb Preservation & Diabetic Foot Center PLLC Podiatrist CurrentSince Dec 6, 2023 Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

300 Meadowmont Village Cir
Ste 103301
Chapel Hill, NC 27517

10035 Park Cedar Dr
Ste 100
Charlotte, NC 28210
Phone (704) 442-9011

430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000

460 Waterstone Dr
Hillsborough, NC 27278
Phone (919) 595-5900

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Interoperability endpoints

  • Direct secure messaging: cbergen2811481@carolinashealthcaresystem.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1386208874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320003",
            "telephone_number": "678-426-2171",
            "fax_number": "615-269-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST. NE",
            "address_2": "STE 1960",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082225",
            "telephone_number": "404-589-1330",
            "fax_number": "404-589-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.