NPIMap

Individual provider Active NPI

Stuart Bergman-Bock, M.D.

  • Neurology Physician
  • Burnsville, MN
National Provider Identifier
1639463185
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
66213 Issued in MN
Practice address
501 E Nicollet Blvd Ste 100
Burnsville, MN 55337-6772
Phone
(952) 435-8516
NPI assigned
Jun 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 66213 MN Primary

Addresses

Primary practice location

501 E Nicollet Blvd Ste 100
Burnsville, MN 55337-6772

Mailing address

4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Phone (763) 302-4034

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbergmanbock167929@direct.northmemorial.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20190821003912 MN Practitioner - NeurologyPractitioner - Other (Physician) 8426341249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Louisville School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minneapolis Clinic of Neurology LTDGroup PAC ID 5496668659, 75 clinicians

Practice addresses (Care Compare)

501 E Nicollet Boulevard
Suite 100 and Suite LL50
Burnsville, MN 55337-6749
Phone (952) 435-8516

Hospital & facility affiliations

  • M Health Fairview Ridges Hospital Hospital, Burnsville, MN, CCN 240207
  • Hutchinson Health Hospital, Hutchinson, MN, CCN 240187
  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • Allina Health Faribault Medical Center Hospital, Faribault, MN, CCN 240071

Merit-based Incentive Payment System (MIPS)

Final score
92.39 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
83.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minneapolis Clinic of Neurology, LTD Neurology CurrentSince Aug 15, 2019 Accepting new patients
Hutchinson Medical Center PA Past Accepting new patients

Locations

501 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516

3 Century Ave SE
Hutchinson, MN 55350
Phone (320) 234-3290

4225 Golden Valley Rd
Minneapolis, MN 55422
Phone (612) 588-0661

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1639463185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224215",
            "telephone_number": "763-302-4034",
            "fax_number": "763-302-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E NICOLLET BLVD STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376772",
            "telephone_number": "952-435-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN-BOCK",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "66213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbergmanbock167929@direct.northmemorial.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "501 E Nicollet Blvd Ste 100",
            "city": "Burnsville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553376772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.