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MARY ANN CONKLIN BERGMAN MD
NPI 1629003629
Pediatrics in Houston, TX

Active since July 11, 2006PECOS Enrolled
6624 FANNIN ST, 19TH FLOOR, ST. LUKE'S TOWER, HOUSTON, TX 77030(713) 442-0000 Get Directions Write a Review

NPPES record last updated: December 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Ann Conklin Bergman Md NPPES

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

MARY ANN CONKLIN BERGMAN MD (NPI 1629003629) is an individual pediatrics provider in Houston, Texas, licensed in Texas (F4758) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629003629
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY ANN CONKLIN BERGMANCredential: MD
Location Address6624 FANNIN ST, 19TH FLOOR, ST. LUKE'S TOWERHouston, TX 77030-2312
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Phone(713) 442-0000
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateDecember 9, 2016
✔ NPI 1629003629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · F4758
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.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License F4758 (TX)
6624 FANNIN ST, Houston, TX 77030
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Other Identifiers 6

Medicare PINTXB114305TX
Medicaid043688312TX
Medicare PINTXB114314TX
Medicaid043688313TX
Medicare PIN510539YKTVTX
Medicaid043688311TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ann Conklin Bergman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

DR. JAIME BENREY MD
Internal Medicine (Cardiovascular Disease)
6624 FANNIN ST, STE 2310
HOUSTON, TX 77030
Harris County (713) 796-2668
MARISOL J SKIBIN P.T.
Physical Therapist
6624 FANNIN ST, SUITE 2600
HOUSTON, TX 77030
Harris County (713) 790-1818
MELANIE EHNI MOUZOON MD
Pediatrics
6624 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 442-0000
SAMAR SHETH MD
Internal Medicine (Cardiovascular Disease)
6624 FANNIN ST, SUITE 2320
HOUSTON, TX 77030
Harris County (832) 355-6676
FRANK TRAVIS GEROW M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
6624 FANNIN ST, SUITE 2600
HOUSTON, TX 77030
Harris County (713) 790-1818
DAWN DENISE SHORT CNM
Advanced Practice Midwife
6624 FANNIN ST, SUITE 1800
HOUSTON, TX 77030
Harris County (713) 797-1144
HOUSTON HEART CLINIC
Internal Medicine (Cardiovascular Disease)
6624 FANNIN ST, STE. 1590
HOUSTON, TX 77030
Harris County (713) 759-9901
SUSHANTH BEERAVOLU REDDY DO
Hospitalist
6624 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 442-0427

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 Mary Ann Bergman's NPI number?

The NPI number for Mary Ann Bergman is 1629003629. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Mary Ann Bergman located?

Mary Ann Bergman practices at 6624 Fannin St 19th Floor, St. Luke's Tower, Houston, TX 77030. The listed phone number is (713) 442-0000.

What is Mary Ann Bergman's specialty?

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

Is Mary Ann Bergman enrolled in Medicare?

Yes. Mary Ann Bergman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ann Bergman was last updated on December 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.