Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Philip Jacob Bergen Jr., PA-C

Individual provider Physician Assistant · NPI 1235752866

Mr. Philip Jacob Bergen Jr., PA-C is a Physician Assistant in Brookfield, Connecticut. Qualified in 2020, 6 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

60 Old New Milford Rd Ste 3E
Brookfield, CT 06804-2414
Phone: (203) 775-6205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21 Grand St, Hartford, CT 06106-1541 — (860) 550-7500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 23.004823 (CT)

Record details

NPI number1235752866
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 18, 2020
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Brookfield