Individual provider Active NPI

Daren Bergman, D.P.M.

  • Podiatrist
  • Framingham, MA
National Provider Identifier
1669402905
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2222 Issued in MA
Practice address
42 Lincoln St
Framingham, MA 01702-8239
Phone
(508) 879-0811
Fax
(508) 879-8257
NPI assigned
Jul 3, 2006
Last updated
Jun 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2222 MA Primary

Addresses

Primary practice location

42 Lincoln St
Framingham, MA 01702-8239

Mailing address

42 Lincoln St
Framingham, MA 01702-8239
Phone (508) 879-0811

Other identifiers 3

IdentifierTypeStateIssuer
496525OtherMATUFTS
AA93592OtherMAHARVARD PILGRIM
Y71139OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070914000514 MA Practitioner - PodiatryPractitioner - Diagnostic Radiology 6406869957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics New England IncGroup PAC ID 6800976770, 27 clinicians

Practice addresses (Care Compare)

313 Speen St
Natick, MA 01760-1538
Phone (508) 655-0471

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue42
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2222MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics New England, Inc CurrentSince Mar 12, 2020 Accepting new patients
Orthopedics New England, Inc CurrentSince Mar 12, 2020 Accepting new patients

Locations

77 W Main St
Hopkinton, MA 01748
Phone (508) 435-5506

313 Speen St
Natick, MA 01760
Phone (508) 655-0471

2000 Washington St
Ste 322
Newton Lower Falls, MA 02462
Phone (617) 243-6076

Interoperability endpoints

  • Direct secure messaging: bergman.daren.mwortho@direct.partners.masshiway.net

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

Hospital & facility affiliations 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1669402905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028239",
            "telephone_number": "508-879-0811",
            "fax_number": "508-879-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028239",
            "telephone_number": "508-879-0811",
            "fax_number": "508-879-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "DAREN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "496525",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA93592",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y71139",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.