Individual provider Active NPI

David Bergman, M.D.

  • Maternal & Fetal Medicine Physician
  • Mineola, NY
National Provider Identifier
1427070655
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
164214 Issued in NY
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

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061019000347 NY Practitioner - Obstetrics/Gynecology 0749202661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
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

LicenseStateTypeSpecialty
164214NYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Nov 1, 2016 Accepting new patients
Mercy Medical Center CurrentSince Nov 1, 2015 Accepting new patients
North Shore - Lij Medical PC CurrentSince Nov 1, 2016 Accepting new patients
Mercy Medical Center CurrentSince Nov 1, 2015 Accepting new patients
Medical Care for Womens Health PC Obstetrics & Gynecology PastSince Dec 28, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.