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MR. MICHAEL ADAM BERGMAN PA-C
NPI 1134445760
Physician Assistant - Medical in Stamford, CT

Active since April 07, 2010PECOS EnrolledAccepts Medicare Assignment
30 SHELBURNE RD, STAMFORD, CT 06902(203) 276-7076 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Adam Bergman Pa-c NPPES

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

MR. MICHAEL ADAM BERGMAN PA-C (NPI 1134445760) is an individual medical provider in Stamford, Connecticut, licensed in Connecticut (003256) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1134445760
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MICHAEL ADAM BERGMANCredential: PA-C
Location Address30 SHELBURNE RDStamford, CT 06902-3628
Mailing Address30 Shelburne Rd, Po Box 9317Stamford, CT 06902-3628 · (203) 276-7076
Phone(203) 276-7076
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 7, 2010
Last NPPES UpdateFebruary 12, 2015
✔ NPI 1134445760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in CT · 003256✔ Licensed in NY · 013878
30 SHELBURNE RD, Stamford, CT 06902
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Adam Bergman Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658500335
PECOS Enrollment IDI20221214001605
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.

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. RONALD GIANNOTTO M.D.
Anesthesiology
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7000
DR. ALEXANDR RAFAILOV MD
Emergency Medicine
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7777
THE STAMFORD HOSPITAL
Pharmacy (Community/Retail Pharmacy)
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 325-5767
DR. MICHAEL KOFI ADUSEI M.D.
Psychiatry & Neurology (Addiction Psychiatry)
30 SHELBURNE RD, STAMFORD HOSPITAL
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-1000
SARAH FEIGENBAUM PA
Physician Assistant
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-1000
DR. CHAO GUO MD
Internal Medicine
30 SHELBURNE RD, DEPT OF MEDICINE
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7147
DR. ALLA ROMAN KOORN M.D.
Anesthesiology
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7000
MS. DIANE GOODWIN PA-C
Physician Assistant (Surgical)
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-1000

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 Michael Bergman's NPI number?

The NPI number for Michael Bergman is 1134445760. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is Michael Bergman located?

Michael Bergman practices at 30 Shelburne Rd, Stamford, CT 06902. The listed phone number is (203) 276-7076.

What is Michael Bergman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Bergman enrolled in Medicare?

Yes. Michael Bergman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Bergman was last updated on February 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.