Individual provider Active NPI

Deborah Bergfeld, MD

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
National Provider Identifier
1891744223
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P3608 Issued in TX
Practice address
5027 Pecan Grove Dr
San Antonio, TX 78222-3529
Phone
(210) 333-6815
Fax
(210) 892-6481
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P3608 TX Primary
Sports Medicine (Family Medicine) Physician 207QS0010X P3608 TX

Addresses

Primary practice location

5027 Pecan Grove Dr
San Antonio, TX 78222-3529

Mailing address

616 FM 1960 Rd W
Ste 230
Houston, TX 77090-3000
Phone (888) 749-7428

Other identifiers 4

IdentifierTypeStateIssuer
9042176OtherTXAETNA
02661356MedicaidNY
6052232OtherTXCIGNA
8DL376OtherTXBLUECROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20121011000417 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 1153358809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
State University of New York at Buffalo School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Physical Medicine & Rehabilitation Current Accepting new patients
Seton Family of Doctors CurrentSince Jul 14, 2014 Accepting new patients
Seton Family of Doctors CurrentSince Jul 14, 2014 Accepting new patients

Locations

313 E 12th St
Ste 101
Austin, TX 78701
Phone (512) 324-9650

3707 S 2nd St
Ste 100
Austin, TX 78704
Phone (512) 324-9170

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1301 W 38th St
Ste 400
Austin, TX 78705
Phone (512) 324-3340

1600 W 38th St
Ste 312
Austin, TX 78731
Phone (512) 324-7131

3724 Executive Center Dr
Ste G10
Austin, TX 78731
Phone (512) 324-9270

5103 Kyle Center Dr
Ste 103
Kyle, TX 78640
Phone (512) 368-5294

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: deborah.bergfeld.1@8363.direct.athenahealth.com

Organizations & group practices 3

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 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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1891744223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 FM 1960 RD W",
            "address_2": "STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903000",
            "telephone_number": "888-749-7428",
            "fax_number": "281-724-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 PECAN GROVE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223529",
            "telephone_number": "210-333-6815",
            "fax_number": "210-892-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGFELD",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P3608",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "P3608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9042176",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02661356",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6052232",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "8DL376",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.