Active NPIIndividual providerSole proprietor

Dr. Ira M Bergman, MD

Psychiatry & Neurology, Psychiatry in Ny, New York

NPI Number1568566552
Practice location
1160 Park Ave, #1e, Ny, NY 10128
Fax
212-289-4219
Last updated
January 10, 2020

Ira M Bergman is a Psychiatry & Neurology, Psychiatry based in Ny, NY. Ira M Bergman practices in Ny, NY and has the professional credentials of MD. The NPI Number for Ira M Bergman is 1568566552 and holds a License No. 168691 (NY). The current practice location address for Ira M Bergman is 1160 Park Ave, #1e, Ny, NY 10128 and can be reached out via phone at 212-289-4128 and via fax at 212-289-4219.

Provider Profile Details

NPI Number
1568566552
Provider Name
Ira M Bergman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1160 Park Ave, #1e, Ny, NY 10128
Phone Number
212-289-4128
Fax Number
212-289-4219
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 11, 2006
Last Update Date
January 10, 2020
Certification Date
January 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1160 Park Ave
#1e
Ny, NY 10128
City
Ny
Zip
10128
Phone Number
212-289-4128
Fax Number
212-289-4219
Ny, NY 10128Get directions →

Provider Business Mailing Address Details

Address
1160 Park Ave
#1e
Ny, NY 10128
City
Ny
State
NY
Zip
10128
Phone Number
212-289-4128
Fax Number
212-289-4219

License Information

License Number
168691
License State
NY
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Ira M Bergman, MD?

The NPI number of Dr. Ira M Bergman, MD is 1568566552. It was assigned on September 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ira M Bergman, MD?

Dr. Ira M Bergman, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 168691.

Where does Dr. Ira M Bergman, MD practice?

The practice location is 1160 Park Ave, #1e, Ny, NY 10128. The office can be reached at 212-289-4128 (phone) or 212-289-4219 (fax).

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 1568566552 directly on the NPPES registry website.

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