DR. JEFFERY JOSEPH BERGMAN D.O.
NPI 1164653929
Pediatrics in Eau Claire, WI
About Dr. Jeffery Joseph Bergman D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFERY JOSEPH BERGMAN D.O. (NPI 1164653929) is an individual pediatrics provider in Eau Claire, Wisconsin, licensed in Wisconsin (82172-21) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Melbourne, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeffery Joseph Bergman D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Jeffery Bergman reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eau Claire, WI 54701
- Reassigned Medicare billing, Wisconsin enrollment
- 1,248 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,003 clinicians in this Medicare group
Jacksonville, FL 32207
- Reassigned Medicare billing, Florida enrollment
- 703 clinicians in this Medicare group
Orlando, FL 32803
- Reassigned Medicare billing, Florida enrollment
- 3,005 clinicians in this Medicare group
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 231 clinicians in this Medicare group
Sebring, FL 33872
- Reassigned Medicare billing, Florida enrollment
- 318 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jeffery Bergman's NPI number?
The NPI number for Jeffery Bergman is 1164653929. It was assigned to this individual provider in the NPPES registry on July 28, 2009.
Where is Jeffery Bergman located?
Jeffery Bergman practices at 1400 Bellinger St, Eau Claire, WI 54703. The listed phone number is (715) 838-5222.
What is Jeffery Bergman's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jeffery Bergman enrolled in Medicare?
Yes. Jeffery Bergman is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jeffery Bergman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Bergman reassigns Medicare benefits to 6 organizations: Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Eau Claire, WI), Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI), The Nemours Foundation (Jacksonville, FL), Florida Hospital Medical Group Inc (Orlando, FL), Tampa Bay Emergency Physicians LLC (Tampa, FL) and 1 more organization, listed in the Medicare section above. Each 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 Jeffery 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 Jeffery Bergman was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Dr. Jeffery Joseph Bergman, D.O. · NPI 1164653929
Pediatrics physician in Eau Claire, Wisconsin. Individual provider, active in the CMS NPPES registry since July 28, 2009.
## Identity
- **NPI:** 1164653929 (Entity type: Individual)
- **Enumerated:** July 28, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 82172-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 BELLINGER ST, Eau Claire, WI 54703-9943
- **Phone:** (715) 838-5222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (NPI 1235588831, Eau Claire, WI); Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (NPI 1629056049, La Crosse, WI); The Nemours Foundation (NPI 1265585806, Jacksonville, FL); Florida Hospital Medical Group Inc (NPI 1225034234, Orlando, FL); Tampa Bay Emergency Physicians LLC (NPI 1114977428, Tampa, FL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** April 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164653929) · Data from the CMS NPPES public registry.