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DR. CHARLES MAC BERGMAN M.D.
NPI 1922462399
Pediatrics - Pediatric Critical Care Medicine in New York, NY

Active since April 11, 2016PECOS Enrolled
525 E 68TH ST # M622, NEW YORK, NY 10065(212) 746-3970 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2023, Jun 2, 2023, May 10, 2023 (3 updates tracked since 2023).

About Dr. Charles Mac Bergman M.d. NPPES

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

DR. CHARLES MAC BERGMAN M.D. (NPI 1922462399) is an individual pediatric critical care medicine provider in New York, New York, licensed in New York (300871) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1922462399
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. CHARLES MAC BERGMANCredential: M.D.
Location Address525 E 68TH ST # M622New York, NY 10065-4870
Mailing Address575 Lexington AveNew York, NY 10022-6102 · (212) 746-0308
Phone(212) 746-3970
Sole ProprietorNo
Enumeration DateApril 11, 2016
Last NPPES UpdateDecember 6, 20233 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1922462399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 300871
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
525 E 68TH ST # M622, New York, NY 10065
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Secondary Practice Location 1

Location 11275 York AveNew York, NY 10065-6007 · Phone (347) 798-9213

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Mac Bergman M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Charles Bergman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Weill Medical College Of Cornell
Same address
Hematology & Oncology
525 E 68TH ST, PAYSON 3
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1124170212 (New York)
  • 22 clinicians in this Medicare group
NPI 1437273968 (212) 746-2119
Memorial Pediatric Group
0.1 mi
Pediatrics
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 220 clinicians in this Medicare group
NPI 1750352381 (646) 227-3813
Kings Physician Services, PC
6.8 mi
Diagnostic Radiology
506 6TH STREET
Brooklyn, NY 11215
  • Reassigned Medicare billing, New York enrollment
  • 1,029 clinicians in this Medicare group
NPI 1083045090 (718) 780-5051

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARIK ZAHOUANI M.D
Pediatrics
525 E 68TH ST # M622
NEW YORK, NY 10065
New York County (646) 697-6428
KENNY JOSELIN CASTRO OCHOA M.D.
Pediatrics (Pediatric Gastroenterology)
525 E 68TH ST # M622
NEW YORK, NY 10065
New York County (646) 962-3869
ARIEL NICOLE BOWROSEN
Nurse Practitioner (Family)
525 E 68TH ST # M622
NEW YORK, NY 10065
New York County (646) 962-4324
DR. DIANE PATRICIA LEE PSYD
Psychologist
525 E 68TH ST # M622
NEW YORK, NY 10065
New York County (212) 746-3303
GEORGE RU MD
Pediatrics (Pediatric Critical Care Medicine)
525 E 68TH ST # M622
NEW YORK, NY 10065
New York County (212) 746-3056
DR. DEANNA HANO MD
Hospitalist
525 E 68TH ST # M622
NEW YORK, NY 10065
New York County (212) 746-5454
MS. RACHIEL CAROLINE CABILING
Nurse Practitioner (Pediatrics)
525 E 68TH ST # M622
NEW YORK, NY 10065
New York County (845) 926-2949
GRACE KONG M.D.
Pediatrics (Pediatric Cardiology)
525 E 68TH ST # M622
NEW YORK, NY 10065
New York County (212) 746-5454

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 Charles Bergman's NPI number?

The NPI number for Charles Bergman is 1922462399. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Charles Bergman located?

Charles Bergman practices at 525 E 68th St # M622, New York, NY 10065. The listed phone number is (212) 746-3970.

What is Charles Bergman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Charles Bergman enrolled in Medicare?

Yes. Charles Bergman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Bergman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Bergman reassigns Medicare benefits to 3 organizations: Weill Medical College Of Cornell (New York, NY), Memorial Pediatric Group (New York, NY) and Kings Physician Services, PC (Brooklyn, NY). 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 Charles 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 Charles Bergman was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.