Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack M. Bergstein, MD

Individual provider Specialist · NPI 1154366300

Dr. Jack M. Bergstein, MD is a General Surgery in Marysville, Washington. Graduated from University of Minnesota Medical School in 1982, 44 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Washington.

Years since qualifying
44
Trained at
University of Minnesota Medical School
Licensed in
PA, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7205 54th Pl NE Unit A
Marysville, WA 98270-8932
Phone: (724) 833-2171
Fax: (360) 386-8019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 221 Pitgas Rd, Clarksville, PA 15322-7367 — (724) 833-2171

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD60641501 (WA)
Specialist Taxonomy 174400000X · Licence MD422547 (PA)

Record details

NPI number1154366300
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2006
Last updated in NPPESMarch 17, 2018
Mailing address7205 54th Pl Ne Unit A, Marysville, WA 98270-8932

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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