Michael David Bergman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

027561 Issued in CT

Practice address

215 Sherman Ave
Hamden, CT 06518-2125

Phone

(203) 288-6800

Fax

(203) 287-1953

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Specialty

Internal Medicine

Education

University of Connecticut School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Masters in Home Care, LLC Home health agency, Rocky Hill, CT, CCN 077264
• Enhabit Hospice Hospice, Rocky Hill, CT, CCN 071549

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Michael D Bergman MD LLC

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1639526890

  CT, Internal Medicine

  Medicare reassignment NPD Authorized official
• Connecticut Medical Group, LLC

  • Primary Care Nurse Practitioner
  • Hamden, CT
  • NPI 1366504227

  Internal Medicine

  NPD (past)
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• A&B Home Health Solutions, LLC

  • Community Based Hospice Care Agency
  • Rocky Hill, CT
  • NPI 1255013207

  Hospice

  Care Compare affiliation
• Masters in Home Care, LLC

  • Home Health Agency
  • Rocky Hill, CT
  • NPI 1679901953
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1780694331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 WOODSTOCK RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06517",
            "telephone_number": "203-288-6800",
            "fax_number": "203-287-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SHERMAN AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182125",
            "telephone_number": "203-288-6800",
            "fax_number": "203-287-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "027561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001275610",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behavioral Health Consultants, LLC
• Raquel Belfonti, C.D.-N, MS, PT
• Colin M Bemis
• Benchmark Assisted Living LLC
• Kelly Bennett
• Bergvik Counseling Services, LLC
• Thomas Anton Bergvik, MA, LPC
• Daniel Berluti, PA-C
• Edwin Bernabe, APRN
• Douglas A Berv, MD

• All providers in Hamden, CT
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.