Individual provider Active NPI

Alex Alain Bergmann, DO

  • Anesthesiology Physician
  • Garden City, NY
National Provider Identifier
1558540807
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
243363 Issued in NY
Practice address
1122 Franklin Ave
Garden City, NY 11530-1643
Phone
(516) 739-9270
NPI assigned
Nov 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 243363 NY
Anesthesiology Physician 207L00000X 243363 NY Primary

Addresses

Primary practice location

1122 Franklin Ave
Garden City, NY 11530-1643

Mailing address

223 Shoreward Dr
Great Neck, NY 11021-2716
Phone (917) 565-3370

Other practice location 1

19303 Union Tpke
Fresh Meadows, NY 11366-1874
Phone (929) 405-0165

Other practice location 2

1 Gustave L Levy Pl
Anesthesiology - Box 1010
New York, NY 10029-6500
Phone (800) 627-4470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
243363NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Past Accepting new patients
Franklin Lee DO PLLC Past Accepting new patients
Glacier Cryo Medical P.C Anesthesiology Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Mount Sinai School of Medicine Anesthesiology Past Accepting new patients
Marc Agulnick, MD, LLC PastSince May 27, 2009 Accepting new patients

Organizations & group practices 6

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1558540807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 SHOREWARD DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212716",
            "telephone_number": "917-565-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 FRANKLIN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301643",
            "telephone_number": "516-739-9270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19303 Union Tpke",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113661874",
            "country_code": "US",
            "telephone_number": "929-405-0165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_2": "Anesthesiology - Box 1010",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296500",
            "country_code": "US",
            "telephone_number": "800-627-4470",
            "fax_number": "718-616-4105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGMANN",
        "first_name": "ALEX",
        "middle_name": "ALAIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "243363",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "243363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.