SARAH BERGMAN (DO) – Family Medicine Physician, NPI 1114505666

SARAH BERGMAN (DO) is a healthcare provider. based in Selmer, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 6175 (TN). The NPI Number for SARAH BERGMAN (DO) is 1114505666

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SARAH BERGMAN (DO)
NPI
1114505666
Phone
(731) 541-9490
Address
270 E COURT AVE
Enumeration Date
29 March 2021
Last Update Date
29 April 2025

Doctor Profile

Medical School Name
WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6623198844
Graduation Year
2021 (5 years ago)
PAC ID
6103229695
Group Practice PAC ID
0244505840
Professional Enrollment ID
I20250430003271
Address ID
MS397303337AB502XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

Provider Addresses for SARAH BERGMAN (DO)

  • 270 E COURT AVE

    SELMER, TN 383752304

    Phone: (731) 541-9490

    Type: Mailing

  • 1665 S GREEN ST

    TUPELO, MS 388046556

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-03-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($33).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-18

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: 2025-04-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240306000217IFamily PracticeMSTBD
I20250430003271IFamily PracticeTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38375)

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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: 0244505840View full group profile
NameSpecialtyState
Emergency Medicine, NeurologyLA
Nurse PractitionerMS
Nurse PractitionerMS
Family PracticeMS
-AL
Nurse PractitionerMS
Nurse PractitionerMS
-MS
-MS
Nurse PractitionerMS

Reviews

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Frequently asked questions

What NPI should I save for SARAH BERGMAN (DO)?
Save NPI 1114505666 if you need a stable reference for SARAH BERGMAN (DO).
Is SARAH BERGMAN (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SARAH BERGMAN (DO)'s specialty in plain language?
Clinically, the directory lists SARAH BERGMAN (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SARAH BERGMAN (DO)?
The page summarizes Selmer, Tennessee for SARAH BERGMAN (DO); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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