Individual provider

Jeffery Bergman, D.O.

Pediatrics Physician Medicare enrolled

Jeffery Bergman, D.O. is a Pediatrics Physician in Eau Claire, WI, registered under NPI 1164653929.

Getting there

The practice address on file is 1400 BELLINGER ST, Eau Claire, WI 54703. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1400 BELLINGER ST, Eau Claire, WI 54703 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
82172-21 WI Pediatrics Physician primary
OS11615 FL Pediatrics Physician
103328 WI Pediatrics Physician
4739 OK Pediatrics Physician
P0550 TX Pediatrics Physician

Licences are recorded in 4 states: WI, FL, OK, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
3375702889

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Florida I20120928000582 Practitioner - Pediatric Medicine
Wisconsin I20260305000704 Practitioner - Pediatric Medicine

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. There are 2 separate enrolment records across 2 states (FL, WI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 4 states

This provider holds licences in 4 states: Florida, Oklahoma, Texas and Wisconsin. The practice address on file is in Eau Claire, WI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida
Licence
OS11615
Specialty
Pediatrics Physician
Verify with the FL board →
OK Oklahoma
Licence
4739
Specialty
Pediatrics Physician
Verify with the OK board →
TX Texas
Licence
P0550
Specialty
Pediatrics Physician
Verify with the TX board →
WI Wisconsin practice address
Licence
82172-21
Specialty
Pediatrics Physician
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatrics covers

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NUCC Health Care Provider Taxonomy, code 208000000X
Allopathic & Osteopathic Physicians Pediatrics

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208000000X Pediatrics Physician 82172-21 WI primary
208000000X Pediatrics Physician OS11615 FL
208000000X Pediatrics Physician 103328 WI
208000000X Pediatrics Physician 4739 OK
208000000X Pediatrics Physician P0550 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164653929 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 28, 2009
Last updatedApr 13, 2026
StatusActive
Sole proprietorNo
CredentialD.O.
Practice address 1400 BELLINGER ST
Eau Claire, WI 54703
(715) 838-5222
Mailing address PO BOX 860912
Minneapolis, MN 55486
This record was updated on Apr 13, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1164653929 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 6 5 3 9 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 3 5 6 9 4

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164653929?
NPI 1164653929 is the National Provider Identifier assigned to Jeffery Bergman, D.O. in Eau Claire, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatrics Physician cover?
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and…
How do I contact Jeffery Bergman, D.O.?
The phone number on file with NPPES is (715) 838-5222, last updated Apr 13, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jeffery Bergman, D.O. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164653929 a valid number?
Yes. 1164653929 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.