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

Q: 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.

Q: What is Jerry Bergstein's specialty?

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

Q: When was this NPI record last updated?

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

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: August 16, 2026.

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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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.