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JEFFREY MICHAEL BERGMAN M.D.
NPI 1023375037
Internal Medicine - Hospice and Palliative Medicine in Brooklyn, NY

Active since April 13, 2012PECOS Enrolled
506 6TH ST, BROOKLYN, NY 11215(718) 780-5246 Get Directions Write a Review

NPPES record last updated: June 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeffrey Michael Bergman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY MICHAEL BERGMAN M.D. (NPI 1023375037) is an individual hospice and palliative medicine provider in Brooklyn, New York, licensed in New York (281892) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023375037
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameJEFFREY MICHAEL BERGMANCredential: M.D.
Location Address506 6TH STBrooklyn, NY 11215-3609
Mailing Address110 Bi County Blvd Ste 114Farmingdale, NY 11735-3923 · (631) 465-6300
Phone(718) 780-5246
Sole ProprietorYes
Enumeration DateApril 13, 2012
Last NPPES UpdateJune 13, 2020
NPPES CertifiedJune 13, 2020
✔ NPI 1023375037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in NY · 281892
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
506 6TH ST, Brooklyn, NY 11215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Michael Bergman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Bergman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Good Shepherd Hospice
29 mi
Hospice and Palliative Medicine
110 BI COUNTY BLVD
Farmingdale, NY 11735
  • Reassigned Medicare billing, New York enrollment
  • 23 clinicians in this Medicare group
NPI 1992131635 (631) 828-7415

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIVIAN JOLLEY BEA M.D.
Surgery
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-3288
YANJIN YANG
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-3000
JOY THERESE MULLEN RN, NP
Nurse Practitioner (Adult Health)
506 6TH ST, EP2
BROOKLYN, NY 11215
Kings County (718) 780-5040
ASHWAD AFZAL M.D.
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-5246
DR. DANIAH ALBOKHARI M.D.
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-5260
SASIS SIRIKANJANAPONG
Pathology (Anatomic Pathology)
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-3634
DR. DANIELLE ABADI MD
Pediatrics
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-5260
KOREN H KWAG MD
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215
Kings County (718) 780-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Bergman's NPI number?

The NPI number for Jeffrey Bergman is 1023375037. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Jeffrey Bergman located?

Jeffrey Bergman practices at 506 6th St, Brooklyn, NY 11215. The listed phone number is (718) 780-5246.

What is Jeffrey Bergman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Jeffrey Bergman enrolled in Medicare?

Yes. Jeffrey Bergman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Bergman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Bergman reassigns Medicare benefits to Good Shepherd Hospice (Farmingdale, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Bergman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Bergman was last updated on June 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.