NPIMap

Individual provider Active NPI

Marc Bergman, M.D.

  • Orthopaedic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1437259652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0058513 Issued in FL
Practice address
1905 Clint Moore Rd
Suite 214
Boca Raton, FL 33496-2658
Phone
(561) 241-8668
Fax
(561) 912-9556
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0058513 FL Primary

Addresses

Primary practice location

1905 Clint Moore Rd
Suite 214
Boca Raton, FL 33496-2658

Mailing address

1905 Clint Moore Rd
Suite 214
Boca Raton, FL 33496-2658
Phone (561) 241-8668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080905000075 FL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3779485669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1905 Clint Moore Rd
Suite 214
Boca Raton, FL 33496-2660
Phone (561) 241-8668

7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0058513FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Aug 1, 2024 Accepting new patients
Orthopedic Center of Palm Beach County CurrentSince Aug 1, 2024 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Orthopaedic Surgery Past Accepting new patients
Orthopedic Center of Palm Beach County, Inc. Past Accepting new patients

Locations

1905 Clint Moore Rd
Ste 214
Boca Raton, FL 33496
Phone (561) 241-8668

4705 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 220-2622

10275 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437
Phone (561) 300-1400

10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone (561) 697-6500

4601 Military Trl
Ste 209
Jupiter, FL 33458
Phone (561) 406-2504

180 John F Kennedy Dr
Ste 100
Lake Worth, FL 33462

1221 S State Road 7
Ste 200
West Palm Beach, FL 33414
Phone (561) 697-6500

Interoperability endpoints

  • Direct secure messaging: marc.bergman.1@26475.direct.athenahealth.com
  • Direct secure messaging: mbergman2483365@direct.trinity-health.org

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

Hospital & facility affiliations 6

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437259652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 214",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-241-8668",
            "fax_number": "561-912-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 214",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-241-8668",
            "fax_number": "561-912-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0058513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.