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DR. JERRY MICHAEL BERGSTEIN M.D.
NPI 1023383700
Specialist in Indianapolis, IN

Active since March 14, 2012PECOS Enrolled
8905 SOURWOOD CT, INDIANAPOLIS, IN 46260(317) 872-4459(317) 872-4459 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jerry Michael Bergstein M.d. NPPES

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

DR. JERRY MICHAEL BERGSTEIN M.D. (NPI 1023383700) is an individual specialist in Indianapolis, Indiana, licensed in Indiana (01027479A) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023383700
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JERRY MICHAEL BERGSTEINCredential: M.D.
Location Address8905 SOURWOOD CTIndianapolis, IN 46260-1544
Mailing Address8905 Sourwood CtIndianapolis, IN 46260-1544 · (317) 872-4459 · Fax (317) 872-4459
Phone(317) 872-4459
Fax(317) 872-4459
Sole ProprietorYes
Enumeration DateMarch 14, 2012
✔ NPI 1023383700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 01027479A
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8905 SOURWOOD CT, Indianapolis, IN 46260
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Other Identifiers 1

Medicare UPINB28258IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Michael Bergstein 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.

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 Jerry Bergstein's NPI number?

The NPI number for Jerry Bergstein is 1023383700. It was assigned to this individual provider in the NPPES registry on March 14, 2012.

Where is Jerry Bergstein located?

Jerry Bergstein practices at 8905 Sourwood Ct, Indianapolis, IN 46260. The listed phone number is (317) 872-4459.

What is Jerry Bergstein's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jerry Bergstein enrolled in Medicare?

Yes. Jerry Bergstein is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Bergstein was last updated on March 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.