CHARLES P. BERGSTROM M.D.
NPI 1225059421
Pediatrics - Pediatric Critical Care Medicine in Milwaukee, WI
NPI Status: Active since July 22, 2006
Contact Information
9000 W WISCONSIN AVE
PEDIATRIC CRITICAL CARE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 266-3360
Fax: (414) 266-3563
- Individual
- Male
- Pediatrics
- Pediatric Critical Care Medicine
- Accepts Insurance
- PECOS Enrolled
About CHARLES BERGSTROM
This page provides the complete NPI Profile along with additional information for Charles Bergstrom, a pediatrician established in Milwaukee, Wisconsin with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1225059421 assigned on July 2006. The practitioner's primary taxonomy code is 2080P0203X with license number 65736 (WI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1225059421
- Provider Name
- CHARLES P. BERGSTROM M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9000 W WISCONSIN AVE PEDIATRIC CRITICAL CARE MILWAUKEE, WI 53226
- Location Phone
- (414) 266-3360
- Location Fax
- (414) 266-3563
- Mailing Address
- 9000 W WISCONSIN AVE PEDIATRIC CRITICAL CARE MILWAUKEE, WI 53226
- Mailing Phone
- (414) 266-3360
- Mailing Fax
- (414) 266-3563
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-22-2006
- Last Update Date
- 01-29-2021
- Code Navigator
A pediatrician like Charles Bergstrom is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 65736
- License State
- WI
- Taxonomy Description
- A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 248026 (NY) |
| 2 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | 248026 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- POS HDHP Bronze 6250 - POS
- POS Silver 5000 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02961219 | MEDICAID (05) | NY | |
| 1225059421 | MEDICAID (05) | WI | |
| 00A878510 | MEDICAID (05) | CA |
Medicare Participation & PECOS Enrollment Status
Charles Bergstrom is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for CHARLES P. BERGSTROM M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 0 | 5 | 9 | 4 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 0 | 5 | 18 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 0 + 5 + 1 + 8 + 4 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1225059421 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. SHANE A FISHER DDS
Dentist
(Pediatric Dentistry)
9000 W WISCONSIN AVE
MAIL STATION 773-DENTAL CLINIC
MILWAUKEE, WI
ZIP 53226
CRAIG C PORTER MD
Pediatrics
(Pediatric Nephrology)
9000 W WISCONSIN AVE
PEDIATRIC NEPHROLOGY
MILWAUKEE, WI
ZIP 53226
ANGELA MARIE PICKART MS
Genetic Counselor, MS
9000 W WISCONSIN AVE
MS 716
MILWAUKEE, WI
ZIP 53226
DR. SRIDHAR RAO M.D., PH.D.
Pediatrics
(Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
PEDIATRIC HEMATOLOGY/ONCOLOGY
MILWAUKEE, WI
ZIP 53226
DR. KEVIN J KELLY MD
Pediatrics
(Pediatric Allergy/Immunology)
9000 W WISCONSIN AVE
PEDIATRIC ALLERGY/IMMUNOLOGY
MILWAUKEE, WI
ZIP 53226
MR. ROGER D. COHEN M.D.
Surgery
(Pediatric Surgery)
9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
DR. BRUCE M CAMITTA MD
Pediatrics
(Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226
DR. CHERYL A MUSZYNSKI MD
Neurological Surgery
9000 W WISCONSIN AVE
CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI
ZIP 53226
DR. JENNIFER L FREETO MD
Hospitalist
9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226
DR. ERIC J WALBERGH MD
Anesthesiology
(Critical Care Medicine)
9000 W WISCONSIN AVE
PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI
ZIP 53226
DR. ANDREA L WINTHROP MD
Surgery
(Pediatric Surgery)
9000 W WISCONSIN AVE
CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI
ZIP 53226
DR. MICHAEL B LEVY MD
Allergy & Immunology
9000 W WISCONSIN AVE
CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI
ZIP 53226
DR. BARBARA W PALMISANO MD
Anesthesiology
9000 W WISCONSIN AVE
PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI
ZIP 53226
DR. ROBERT R MONTGOMERY MD
Pediatrics
(Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226
MS. KATHY A EGGENER NP
Registered Nurse
9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226
DR. TATYANA C STRONG MD
Anesthesiology
9000 W WISCONSIN AVE
PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI
ZIP 53226
MS. LORI SUE WIOREK MA, CCC-A
Audiologist
9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
DR. MARK A KOSTIC MD
Emergency Medicine
(Medical Toxicology)
9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
MR. JOHN M. ROUTES M.D.
Pediatrics
(Pediatric Allergy/Immunology)
9000 W WISCONSIN AVE
PEDIATRIC ALLERY AND IMMUNOLOGY
MILWAUKEE, WI
ZIP 53226
MS. DIANE MARIE CONTRERAS AU.D.,CCC-A
Audiologist
9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225059421, enumerated as an "individual" on July 22, 2006.
The provider is located at 9000 W WISCONSIN AVE PEDIATRIC CRITICAL CARE MILWAUKEE, WI 53226 and the phone number is (414) 266-3360.
Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.
The provider might be accepting Accepts: Aspirus Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
