ALEC BERGMAN (PA-C) – Physician Assistant, NPI 1063920049

ALEC BERGMAN (PA-C) is a healthcare provider. based in Tawas city, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5315089920 (MI). The NPI Number for ALEC BERGMAN (PA-C) is 1063920049

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
ALEC BERGMAN (PA-C)
NPI
1063920049
Phone
(989) 652-5210
Address
PO BOX 779
Enumeration Date
12 January 2018
Last Update Date
6 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
1254693542
Group Practice PAC ID
2365721339
Professional Enrollment ID
I20180327000248
Address ID
MI487341935FR193XXSTXX400

Contacts

Secure Messaging
alecbergman@smomsjhs.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for ALEC BERGMAN (PA-C)

  • PO BOX 779

    TAWAS CITY, MI 487640779

    Phone: (989) 652-5210

    Fax: (989) 652-3741

    Type: Mailing

  • 800 S Washington Ave

    Saginaw, MI 486012551

    Phone: (989) 907-8000

    Type: Location

  • 1027, West Genesee Street, City of Frankenmuth, Frankenmuth Township, Saginaw County, Michigan, 48734, United States

    FRANKENMUTH, MI 487341302

    Phone: (989) 652-5210

    Fax: (989) 652-3741

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180327000248IPhysician AssistantMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes174131$0
99213Established patient office or other outpatient visit, 20-29 minutes168121$0
81003Automated urinalysis test4030$0
69209Removal of impacted ear wax by washing1918$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1716$0
View full utilization report →

Insurance plans in this area (ZIP 48764)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365721339View full group profile
NameSpecialtyState
Family PracticeMI
Physician AssistantMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Internal Medicine, Geriatric MedicineMI
General Surgery, NeurosurgeryMI
Family PracticeMI
Nurse PractitionerMI
Physician Assistant, Physical Therapist In Private PracticeMI
D E N T I S TNC

Reviews

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Frequently asked questions

Does ALEC BERGMAN (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ALEC BERGMAN (PA-C) uses 1063920049.
Is ALEC BERGMAN (PA-C) still practicing?
ALEC BERGMAN (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does ALEC BERGMAN (PA-C) hold?
Scheduling teams often label ALEC BERGMAN (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does ALEC BERGMAN (PA-C) list a practice location?
Patients near Tawas City, Michigan may find ALEC BERGMAN (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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