KERRY BERGMAN MD NPI 1346211174

NPI Information

NPI: 1346211174
Provider Name: KERRY BERGMAN, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901
Phone: (973) 971-7185
Get Directions

Kerry Bergman, MD is a pediatric surgery surgery in Summit, NJ. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Kerry Bergman, MD NPI is 1346211174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901-533
Phone: (973) 971-7185

The NPI 1346211174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 7/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	25MA05619600	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E84407	MEDICARE UPIN	NEW JERSEY
2	670222AUK	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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