DR. JEFFERY JOSEPH BERGMAN D.O.
NPI 1164653929
Pediatrics in Eau Claire, WI

Q: 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.

Q: What is Jeffery Bergman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: 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 3 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.

Active since July 28, 2009PECOS Enrolled

1400 BELLINGER ST, EAU CLAIRE, WI 54703(715) 838-5222 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Jan 8, 2026, Jul 28, 2022 (3 updates tracked since 2022).

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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

NPI1164653929

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JEFFERY JOSEPH BERGMANCredential: D.O.

Location Address1400 BELLINGER STEau Claire, WI 54703-9943

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (715) 838-5222 · Fax (507) 284-0702

Phone(715) 838-5222

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 28, 2009

Last NPPES UpdateApril 13, 20263 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1164653929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WI · 82172-21✔ Licensed in FL · OS11615✔ Licensed in WI · 103328✔ Licensed in OK · 4739✔ Licensed in TX · P0550

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1400 BELLINGER ST, Eau Claire, WI 54703

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Secondary Practice Location 1

Location 11350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-7208 · Fax (321) 434-5344

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

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. Jeffery Joseph Bergman D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375702889

PECOS Enrollment IDI20260305000704

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.

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.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ELLEN A CHRISTENSEN OT

Occupational Therapist