DR. JEFFERY JOSEPH BERGMAN (D.O.) – Pediatrics Physician, NPI 1164653929
Pediatrics Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,309 PEDIATRIC MEDICINE in FL
Provider Addresses for DR. JEFFERY JOSEPH BERGMAN (D.O.)
1350 Hickory St
Melbourne, FL 329013224
Phone: (321) 434-7208
Fax: (321) 434-5344
Type: Location
PO BOX 860912
MINNEAPOLIS, MN 554860912
Phone: (715) 838-5222
Fax: (507) 284-0702
Type: Mailing
1400 BELLINGER ST
EAU CLAIRE, WI 547039943
Phone: (715) 838-5222
Type: Location
1400 Bellinger Street
EAU CLAIRE, WI 547035222
Phone: (715) 838-5222
Type: Location
1350, Hickory Street, Melbourne, Brevard County, Florida, 32901, United States
MELBOURNE, FL 329013224
Phone: (321) 434-7208
Fax: (321) 434-5344
Type: Location
4690, Rummell Road, Saint Cloud, Osceola County, Florida, 34771, United States
BERGMAN MEDICAL LLC
SAINT CLOUD, FL 347719696
Phone: (407) 680-4182
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $136.
Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.
Last reported payment date: 2023-11-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($117).
Total Amount
$136
General + Research + Ownership
Payments
2
Total payment records
General Amount
$136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $117 |
| Boston Scientific Corporation | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120928000582 | I | Pediatric Medicine | FL | TBD |
| I20260305000704 | I | Pediatric Medicine | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32901)
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