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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Charles Bergman was last updated on December 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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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