NPIMap

Individual provider Active NPI

Brian Bergfeld, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1750375812
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2004015369 Issued in MO
Practice address
7419 Watson Rd
Saint Louis, MO 63119-4415
Phone
(314) 400-3360
Fax
(314) 400-3361
NPI assigned
Sep 6, 2005
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2004015369 MO Primary

Addresses

Primary practice location

7419 Watson Rd
Saint Louis, MO 63119-4415

Mailing address

PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 400-3360

Other practice location 1

7345 Watson Rd
Saint Louis, MO 63119-4405
Phone (314) 752-7100 ext. 8633

Other practice location 2

7345 Watson Rd
Saint Louis, MO 63119-4405
Phone (314) 752-7100 ext. 8633

Other identifiers 1

IdentifierTypeStateIssuer
209303502MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040913000445 MO Practitioner - Internal Medicine 9234106089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Multispecialty Group IncGroup PAC ID 1658365572, 118 clinicians

Practice addresses (Care Compare)

7419 Watson Rd
Saint Louis, MO 63119-4415
Phone (314) 400-3360

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19
Removal of nail tissue14

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: brian.bergfeld.p1@direct.essehealth.nextgenshare.com

Organizations & group practices 1

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1750375812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23340",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563340",
            "telephone_number": "314-400-3360",
            "fax_number": "314-400-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7419 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194415",
            "telephone_number": "314-400-3360",
            "fax_number": "314-400-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7345 Watson Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631194405",
            "country_code": "US",
            "telephone_number": "314-752-7100 x8633",
            "fax_number": "314-752-3284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7345 Watson Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631194405",
            "country_code": "US",
            "telephone_number": "314-752-7100 x8633",
            "fax_number": "314-752-3284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGFELD",
        "first_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004015369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209303502",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.