Mr. Philip J Bergen Jr., PA-C
Physician Assistant in Brookfield, Connecticut
1235752866- Practice location
- 60 Old New Milford RD Ste 3E, Brookfield, CT 06804-2414
- Phone
- 203-775-6205
- Fax
- —
- Last updated
- October 30, 2025
Philip Jacob Bergen is a Physician Assistant based in Brookfield, CT. Philip Jacob Bergen practices in Brookfield, CT and has the professional credentials of PA-C. The NPI Number for Philip Jacob Bergen is 1235752866 and holds a License No. 23.004823 (CT). The current practice location address for Philip Jacob Bergen is 60 Old New Milford RD Ste 3E, Brookfield, CT 06804-2414 and can be reached out via phone at 203-775-6205.
Provider Profile Details
- NPI Number
- 1235752866
- Provider Name
- Philip Jacob Bergen
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 60 Old New Milford RD Ste 3E, Brookfield, CT 06804-2414
- Phone Number
- 203-775-6205
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 18, 2020
- Last Update Date
- October 30, 2025
- Certification Date
- October 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Old New Milford RD Ste 3E
Brookfield, CT 06804-2414 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-2414
- Phone Number
- 203-775-6205
Provider Business Mailing Address Details
- Address
- 18 Turkey Hill RD
Newtown, CT 06470-2314 - City
- Newtown
- State
- CT
- Zip
- 06470-2314
- Phone Number
- 203-947-4621
License Information
- License Number
- 23.004823
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Philip J Bergen Jr., PA-C?
The NPI number of Mr. Philip J Bergen Jr., PA-C is 1235752866. It was assigned on May 18, 2020 and is currently active in the NPPES registry.
What is the specialty of Mr. Philip J Bergen Jr., PA-C?
Mr. Philip J Bergen Jr., PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 23.004823.
Where does Mr. Philip J Bergen Jr., PA-C practice?
The practice location is 60 Old New Milford RD Ste 3E, Brookfield, CT 06804-2414. The office can be reached at 203-775-6205 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235752866 directly on the NPPES registry website.