BRIAN ALLAN BERGMARK MD
NPI 1750676375
Internal Medicine - Cardiovascular Disease in Boston, MA
NPI Status: Active since June 10, 2011
- Individual
- Male
- Years of Experience 15
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BRIAN BERGMARK
This page provides the complete NPI Profile along with additional information for Brian Bergmark, an internist established in Boston, Massachusetts with a medical specialization in Internal Medicine, focusing in cardiovascular disease and more than 15 years of experience. He graduated from Harvard Medical School in 2011. The healthcare provider is registered in the NPI registry with number 1750676375 assigned on June 2011. The practitioner's primary taxonomy code is 207RC0000X with license number 248828 (MA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1750676375
- Provider Name
- BRIAN ALLAN BERGMARK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 75 FRANCIS ST BOSTON, MA 02115
- Location Phone
- (617) 732-5500
- Mailing Address
- 75 FRANCIS ST BOSTON, MA 02115
- Mailing Phone
- (617) 732-5500
- Medical School Name
- HARVARD MEDICAL SCHOOL
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2011
- Last Update Date
- 07-10-2018
- Code Navigator
An internist like Brian Bergmark is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 248828
- License State
- MA
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 248828 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Brian Bergmark is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Brian Bergmark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4183862089
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20180511001623
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Coronary angioplasty and stenting
Established patient office or other outpatient visit, 30-39 minutes
Insertion of blood flow assist device in lower heart chamber through skin with review by radiologist using artery access
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch
Insertion of tube in bypass graft for diagnosis with review by radiologist
Insertion of tube in coronary artery for diagnosis with review by radiologist
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist
Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist
Insertion of tube in right heart chambers for measurement
Pacemaker insertion or repair
Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel
Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch
Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel
Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel
Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
Coronary angioplasty and stenting is a procedure to open narrowed or blocked heart arteries. A thin tube is inserted into a blood vessel, usually in the leg or arm, and guided to the heart. A small balloon at the end of the tube is inflated to widen the artery. A stent, a small wire mesh tube, may be placed in the artery to keep it open.
This service was performed for 140 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 28 times for 25 patientsThis procedure involves placing a device in the lower heart chamber to aid blood flow. Access is gained through the skin and an artery, guided by a radiologist's review. The device helps your heart pump blood more effectively.
This service was performed 14 times for 14 patientsThis procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
This service was performed 65 times for 50 patientsThis procedure involves placing a small tube into a bypass graft, which is a vessel used to reroute blood flow. A radiologist, a doctor who specializes in medical imaging, then reviews the images taken to help diagnose any potential issues.
This service was performed 22 times for 21 patientsThis procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.
This service was performed 106 times for 104 patientsThis procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
This service was performed 17 times for 17 patientsThis procedure involves placing a small tube into your right heart chambers and coronary artery. It helps in diagnosing heart conditions. A radiologist will review the images obtained for accurate results. It's a standard, safe process.
This service was performed 33 times for 33 patientsThis procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.
This service was performed 22 times for 21 patientsPacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.
This service was performed for 1-10 patientsThis procedure involves removing plaque, a substance that can block your blood vessels, and any blood clots. A stent, a tiny tube, may be inserted to keep the vessel open. If necessary, a balloon is inflated to widen the vessel, aiding blood flow.
This service was performed 19 times for 19 patientsThis procedure involves clearing a blockage in your heart's artery. First, the doctor removes plaque that's clogging the artery. Next, a small tube called a stent is inserted to keep the artery open. Lastly, a balloon is inflated inside the artery to widen it, allowing better blood flow.
This service was performed 34 times for 28 patientsThis procedure involves using ultrasound to examine additional heart blood vessels during diagnosis or treatment. It helps doctors visualize the structure and function of your heart, ensuring precise evaluation and care.
This service was performed 15 times for 14 patientsThis procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.
This service was performed 40 times for 39 patientsThis procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.
This service was performed 103 times for 96 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 249 times for 223 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $19.71 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02115 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.84
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $19.71
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Brian Bergmark is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| NEWTON-WELLESLEY HOSPITAL | 2014 WASHINGTON STREET NEWTON, MA 02462 | (617) 243-6000 | Acute Care Hospitals | |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS STREET BOSTON, MA 02115 | (617) 732-5500 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 6 | 7 | 6 | 3 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 12 | 7 | 12 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 2 + 7 + 1 + 2 + 3 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1750676375 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740284702 | DR. PO-SHUN LEE MD Individual | Internal Medicine (Pulmonary Disease) | 75 FRANCIS ST BRIGHAM & WOMEN'S HOSPITAL, PULMONARY & CRITICAL CARE BOSTON, MA 02115 (617) 355-9012 |
| 1629074760 | DR. CORNELIUS A SULLIVAN MD Individual | Anesthesiology | 75 FRANCIS ST DEPARTMENT OF ANESTHESIOLOGY CWN L2 BOSTON, MA 02115 (617) 732-5500 |
| 1164429056 | MRS. CHRISTIE J LUCENTE PA Individual | Physician Assistant | 75 FRANCIS ST BOSTON, MA 02115 (617) 732-5500 |
| 1316939028 | VERA STEWART FRANKLIN M.D. Individual | Radiology (Diagnostic Radiology) | 75 FRANCIS ST BOSTON, MA 02115 (508) 862-5379 |
| 1477545143 | DR. ALISON FIFE MD Individual | Psychiatry & Neurology (Psychiatry) | 75 FRANCIS ST BOSTON, MA 02115 (617) 732-6750 |
| 1477548394 | RUSSELL ALAN BLINDER M.D. Individual | Radiology (Diagnostic Radiology) | 75 FRANCIS ST RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL BOSTON, MA 02115 (617) 632-3306 |
| 1912993577 | MIGUEL JOSE DIVO MD Individual | Internal Medicine (Pulmonary Disease) | 75 FRANCIS ST PULMONARY DIVISION BRIGHAM AND WOMEN'S HOSPITAL BOSTON, MA 02115 (857) 307-0310 |
| 1922094234 | CHRISTOPH ANDREAS BINKERT M.D. Individual | Radiology (Vascular & Interventional Radiology) | 75 FRANCIS ST RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL BOSTON, MA 02115 (617) 732-7257 |
| 1689660532 | DONALD P GOLDSTEIN MD Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 75 FRANCIS ST BRIGHAM AND WOMEN'S HOSPITAL BOSTON, MA 02115 (617) 732-8843 |
| 1982691044 | LAMBROS ZELLOS MD MPH Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 75 FRANCIS ST BOSTON, MA 02115 (617) 732-7696 |
| 1063409126 | CHRISTOPHER THOMAS DUCKO MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 75 FRANCIS ST BOSTON, MA 02115 (617) 732-6824 |
| 1659369460 | PROF. ELAZER R. EDELMAN M.D., PH.D. Individual | Internal Medicine (Cardiovascular Disease) | 75 FRANCIS ST BOSTON, MA 02115 (617) 253-1569 |
| 1740278951 | JOANNE M FOODY MD Individual | Internal Medicine (Cardiovascular Disease) | 75 FRANCIS ST BOSTON, MA 02115 (857) 307-1989 |
| 1235127432 | DR. PAUL J ANDERSON M.D., PH.D. Individual | Internal Medicine (Rheumatology) | 75 FRANCIS ST BOSTON, MA 02115 (617) 732-5325 |
| 1962491589 | MS. PAMELA D GERROL M.S. Individual | Genetic Counselor, MS | 75 FRANCIS ST BWH/ASBI-3/CFMPG BOSTON, MA 02115 (617) 732-4208 |
| 1669461810 | DR. AARON B WAXMAN M.D., PH.D Individual | Internal Medicine (Pulmonary Disease) | 75 FRANCIS ST PBB CLINICS-3 BOSTON, MA 02115 (617) 525-9733 |
| 1013907641 | CHARLES POZNER MD Individual | Emergency Medicine | 75 FRANCIS ST BRIGHAM AND WOMENS HOSPITAL DEPT OF EMERGENCY MEDICINE BOSTON, MA 02115 (617) 732-5640 |
| 1992795520 | SAMUEL ZACHARY GOLDHABER Individual | Internal Medicine (Cardiovascular Disease) | 75 FRANCIS ST CARDIOVASCULAR DIVISION, BRIGHAM AND WOMEN'S HOSPITAL BOSTON, MA 02115 (617) 732-7566 |
| 1437149184 | DR. MARK WILLIAM FRIEDBERG M.D. Individual | Internal Medicine | 75 FRANCIS ST BOSTON, MA 02115 (617) 732-6047 |
| 1699765883 | DR. ANNA ELIZABETH RUTHERFORD MD, MPH Individual | Internal Medicine (Gastroenterology) | 75 FRANCIS ST DIVISION OF GASTROENTEROLOGY, HEPATOLOGY & ENDOSCOPY BOSTON, MA 02115 (617) 732-6389 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750676375, enumerated in the NPI registry as an "individual" on June 10, 2011
The provider is located at 75 Francis St Boston, Ma 02115 and the phone number is (617) 732-5500
The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider has more than 15 years of experience. He graduated from Harvard Medical School in 2011.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $78.84 and an average copayment of 19.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Coronary angioplasty and stenting, Established patient office or other outpatient visit, 30-39 minutes, Insertion of blood flow assist device in lower heart chamber through skin with review by radiologist using artery access, Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch, Insertion of tube in bypass graft for diagnosis with review by radiologist, Insertion of tube in coronary artery for diagnosis with review by radiologist, Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist, Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist, Insertion of tube in right heart chambers for measurement, Pacemaker insertion or repair, Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel, Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch, Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel, Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel, Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel and Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes.
The practitioner is affiliated to the following hospital(s): NEWTON-WELLESLEY HOSPITAL and BRIGHAM AND WOMEN'S HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 10, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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