Active NPI
David Bergman, M.D.
- Maternal & Fetal Medicine Physician
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 164214
- Practice address
- 300 Old Country Rd
Suite 202
Mineola, NY 11501-4198 - Phone
- (516) 747-4616
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 164214 | NY | |
| Gynecology Physician | 207VG0400X | 164214 | NY | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 164214 | NY | Primary |
| Obstetrics Physician | 207VX0000X | 164214 | NY |
Addresses
Primary practice location
300 Old Country Rd
Suite 202
Mineola, NY 11501-4198
Mailing address
300 Old Country Rd
Suite 202
Mineola, NY 11501-4198
Phone (516) 747-4616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164214 | NY | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Medical Center | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Medical Care for Womens Health PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
376 E Main St
Bay Shore, NY 11706
Phone (631) 396-7000
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
560 Northern Blvd
Great Neck, NY 11021
Phone (516) 466-6165
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
300 Old Country Rd
Ste 202
Mineola, NY 11501
Phone (516) 747-4404
191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144
300 Community Dr
Plandome, NY 11030
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
48 Route 25A
Ste 301
Smithtown, NY 11787
Phone (516) 724-1000
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
972 Brush Hollow Rd
Westbury, NY 11590
79 Froehlich Farm Blvd
Woodbury, NY 11797
Phone (516) 496-3900
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- dbergman67415@northwell.direct-ci.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1619245610
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1104097294
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Obstetrics & Gynecology Physician
- Rutherford, NJ
- NPI 1497467765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1427070655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 OLD COUNTRY RD",
"address_2": "SUITE 202",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014198",
"telephone_number": "516-747-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OLD COUNTRY RD",
"address_2": "SUITE 202",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014198",
"telephone_number": "516-747-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "164214",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "164214",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NY",
"license": "164214",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NY",
"license": "164214",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.