BRENT D BERGEN (MD) – Pulmonary Disease Physician, NPI 1629070693

BRENT D BERGEN (MD) is a healthcare provider. based in Springfield, Missouri. specializing in PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 2007001545 (MO). The NPI Number for BRENT D BERGEN (MD) is 1629070693

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
BRENT D BERGEN (MD)
NPI
1629070693
Phone
(417) 875-3462
Address
PO BOX 9007
Enumeration Date
10 August 2005
Last Update Date
27 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4718854850
Graduation Year
1990 (36 years ago)
PAC ID
6002811445
Group Practice PAC ID
9638250764
Professional Enrollment ID
I20070504000128
Address ID
MO658047929SP1630XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

411 PULMONARY DISEASE in MO

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Provider Addresses for BRENT D BERGEN (MD)

  • PO BOX 9007

    SPRINGFIELD, MO 658089007

    Phone: (417) 875-3462

    Type: Mailing

  • 510, South National Avenue, Rountree/Walnut, Springfield, Greene County, Missouri, 65802, United States

    SPRINGFIELD, MO 658075284

    Phone: (417) 875-3160

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-12-09 • Largest payer in this snapshot: Boston Scientific Corporation ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-05-04

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
I20070504000128IPulmonary DiseaseMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9941$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5726$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 65808)

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Provider's Procedures

BRENT D BERGEN (MD) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEMO94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration8686
PULMONARY DISEASEMO95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube2424

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: 9638250764View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseIL
Pulmonary DiseaseMO
Infectious Disease, Internal MedicineMO

Reviews

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Frequently asked questions

Can I use this page to confirm BRENT D BERGEN (MD)'s NPI?
Yes. BRENT D BERGEN (MD) is listed with NPI 1629070693 in the public NPI dataset.
Does CMS list BRENT D BERGEN (MD) as active?
Yes — BRENT D BERGEN (MD) is active in the NPI listing used on this page.
What healthcare role does BRENT D BERGEN (MD) hold?
Scheduling teams often label BRENT D BERGEN (MD) under Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for BRENT D BERGEN (MD)?
BRENT D BERGEN (MD)'s geographic hint is Springfield, Missouri in our summary view.
Is the information about BRENT D BERGEN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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