Individual provider Active NPI

Alex Glenn Bergman

  • Diagnostic Radiology Physician
  • Valhalla, NY
National Provider Identifier
1548614050
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A156010 Issued in CA
Practice address
100 Woods Rd
Westchester Medical Center
Valhalla, NY 10595-1530
Phone
(310) 488-7873
NPI assigned
Apr 20, 2016
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A156010 CA Primary

Addresses

Primary practice location

100 Woods Rd
Westchester Medical Center
Valhalla, NY 10595-1530

Mailing address

400 W Pueblo St
Santa Barbara, CA 93105-4353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210706001710 CA Practitioner - Diagnostic Radiology 1759783301 Reassigns benefits to 12 organizations
I20250409001844 HI Practitioner - Diagnostic Radiology 1759783301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, shared by 6 NPIs, 133 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

1002 Nut Tree Rd
Vacaville, CA 95687-4100
Phone (707) 646-4646

101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646

1020 Nut Tree Rd
Suite 150
Vacaville, CA 95687-4100
Phone (559) 455-4065

1100 B Gale Wilson Blvd
Fairfield, CA 94533-3771
Phone (707) 646-4646

1101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 646-5000

1320 Travis Blvd
Suite C
Fairfield, CA 94533-4654
Phone (707) 646-4000

500 Ala Moana Blvd
Suite 7 421
Honolulu, HI 96813-4902
Phone (925) 296-7150

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156010CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Nov 27, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
University of California San Francisco Diagnostic Radiology CurrentSince Jun 28, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 28, 2021 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Oct 20, 2023 Accepting new patients
County of Santa Clara CurrentSince Nov 27, 2024 Accepting new patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 28, 2021 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Oct 20, 2023 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Nov 27, 2024 Accepting new patients
University of California San Francisco CurrentSince Jun 28, 2021 Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology Current Accepting new patients
County of Santa Clara Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 14, 2025 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 26, 2024 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 26, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Oct 20, 2023 Accepting new patients
County of Santa Clara CurrentSince Nov 27, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 14, 2025 Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Aug 19, 2023 Accepting new patients
Bay Imaging Consultants Medical Group, Inc. Diagnostic Radiology CurrentSince Oct 20, 2023 Accepting new patients

Locations (25 of 30)

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 436-2600

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2320 N California St
Stockton, CA 95204
Phone (209) 466-2000

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

Interoperability endpoints

  • Direct secure messaging: abergman224634@santaclaravalley.direct-ci.net
  • Direct secure messaging: abergman670066@hisp.ehr.sutterhealth.org

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 7

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1548614050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "address_2": "WESTCHESTER MEDICAL CENTER",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "310-488-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "ALEX",
        "middle_name": "GLENN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2023-08-29",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A156010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.