KERRY BERGMAN MD
NPI 1346211174
Surgery - Pediatric Surgery in Summit, NJ
About Kerry Bergman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRY BERGMAN MD (NPI 1346211174) is an individual pediatric surgery provider in Summit, New Jersey, licensed in New Jersey (25MA05619600) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kerry Bergman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SUMMIT, NJ 07901
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 Kerry Bergman's NPI number?
The NPI number for Kerry Bergman is 1346211174. It was assigned to this individual provider in the NPPES registry on January 30, 2006.
Where is Kerry Bergman located?
Kerry Bergman practices at 99 Beauvoir Ave, Summit, NJ 07901. The listed phone number is (973) 971-7185.
What is Kerry Bergman's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Kerry Bergman enrolled in Medicare?
Yes. Kerry Bergman is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kerry Bergman was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kerry Bergman, MD · NPI 1346211174
Pediatric Surgery physician in Summit, New Jersey. Individual provider, active in the CMS NPPES registry since January 30, 2006.
## Identity
- **NPI:** 1346211174 (Entity type: Individual)
- **Enumerated:** January 30, 2006
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 25MA05619600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 99 BEAUVOIR AVE, Summit, NJ 07901-3533
- **Phone:** (973) 971-7185
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 17, 2007
- **Other identifiers:** Medicare UPIN E84407 (NJ); Medicare ID-Type Unspecified 670222AUK (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1346211174) · Data from the CMS NPPES public registry.