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DR. BRYAN MICHAEL BERGENS DDS
NPI 1942646617
Dentist - Periodontics in Daytona Beach, FL

Active since May 21, 2013PECOS Enrolled
724 S BEACH ST, SUITE 4, DAYTONA BEACH, FL 32114(386) 258-2213(386) 253-7943 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bryan Michael Bergens Dds NPPES

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

DR. BRYAN MICHAEL BERGENS DDS (NPI 1942646617) is an individual periodontics provider in Daytona Beach, Florida, licensed in Florida (DN13806) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942646617
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BRYAN MICHAEL BERGENSCredential: DDS
Location Address724 S BEACH ST, SUITE 4Daytona Beach, FL 32114-5441
Mailing Address724 S Beach St, Suite 4Daytona Beach, FL 32114-5441 · (386) 258-2213 · Fax (386) 253-7943
Phone(386) 258-2213
Fax(386) 253-7943
Sole ProprietorNo
Enumeration DateMay 21, 2013
✔ NPI 1942646617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN13806
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
724 S BEACH ST, Daytona Beach, FL 32114
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Other Identifiers 1

Other1487760054FL · Npi

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. Bryan Michael Bergens Dds 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 32114 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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

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

CHANCE 2 CHANGE
Clinic/Center (Rehabilitation, Substance Use Disorder)
724 S BEACH ST, SUITE 3
DAYTONA BEACH, FL 32114
Volusia County (386) 437-0235

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 Bryan Bergens's NPI number?

The NPI number for Bryan Bergens is 1942646617. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Bryan Bergens located?

Bryan Bergens practices at 724 S Beach St Suite 4, Daytona Beach, FL 32114. The listed phone number is (386) 258-2213.

What is Bryan Bergens's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Bryan Bergens enrolled in Medicare?

Yes. Bryan Bergens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Bergens was last updated on May 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.