Jack William Bergman, PA-C
Physician Assistant · St Louis Park, MN
Jack William Bergman, PA-C is a physician assistant with a practice address in St Louis Park, Minnesota, and NPI 1043790553, issued on Aug 15, 2018. Check the license (Minnesota 13280, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jack William Bergman
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 13280 MN
Self-reported in NPPES; status is on the state search - Practice location
- 3931 Louisiana Ave S, St Louis Park, MN 55426
- Phone
- (952) 993-3230
- Enumerated
- Aug 15, 2018
- Record last updated
- Jan 17, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (952) 993-1748
- Medicare enrollment
- Enrolled (PECOS I20200129001261); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,007 in Minnesota → Look up another NPI →
Also registered at 3931 Louisiana Ave S
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Gavin Ashburn, PA-CPhysician Assistant1982141800
- Lindsey Bade, PHD, MS, CGCGenetic Counselor (M.S.)1417350836
- Joanna Barthell, PA-CMedical Physician Assistant1093154908
- Brent Bauman, M.D.Surgery Physician1407117328
- Claudia Baumann, M.D., PH.D.Internal Medicine Physician1689917064
Verify Jack William Bergman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 13280Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
81% fewer Medicare Part D claims than the average physician assistant in 2024
158 Medicare Part D claims for 63 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. 71 claims were for opioids.
Most prescribed
- Oxycodone Hcl44 claims
- Methocarbamol29 claims
- Gabapentin17 claims
- Hydromorphone Hcl15 claims
- Cyclobenzaprine Hcl12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through 3 group practices
- Fairview Express CareBurnsville, MN
- Group Health Plan IncSaint Paul, MN
- Park Nicollet ClinicSt Louis Park, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jack William Bergman among 4,007 physician assistant records in Minnesota
Jack William Bergman, PA-C is one of 4,007 physician assistant records with a practice address in Minnesota. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 54% of them.
- NPI issued2018 · 54% of these records are older, 41% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 78% of these records are
- Graduated2018 · median 2017 among the 3,131 with a school on file
- Record last updated2020 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
107 physician assistant records list a practice address in St Louis Park
They are 107 of the 3,089 NPPES records with a practice address in St Louis Park, and 4,007 physician assistant records in Minnesota.
All 4,007 in Minnesota → Every provider in St Louis Park → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Sandra Anderson, PAMinneapolis, MN 554261316916026
- Nicole Carlson, M.S.P.A.St Luois Park, MN 554261700820883
- Brenda Henney, P.A.C.St Louis Park, MN 554261710907068
- Amy Huseby, PA-CSt Louis Park, MN 554261508842105
- John Jakala, PASt Louis Park, MN 554261356325997
- William James, O.A.St Louis Park, MN 554261205815149
- Maggie Koch, O.A.St Louis Park, MN 554261023097987
- Mark Leefeldt, O.A.St Louis Park, MN 554261790764660
Common questions
What is Jack William Bergman, PA-C's NPI number?
Jack William Bergman, PA-C's National Provider Identifier (NPI) is 1043790553, issued on Aug 15, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Jack William Bergman, PA-C located?
The NPPES record lists a practice address at 3931 Louisiana Ave S, St Louis Park, MN, 55426. Phone: (952) 993-3230. Providers update this record themselves, so call before visiting.
How can I verify Jack William Bergman, PA-C's license?
NPPES lists Minnesota license number 13280, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
How much does Jack William Bergman, PA-C prescribe under Medicare Part D?
In 2024, Jack William Bergman, PA-C had 158 Medicare Part D claims for 63 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.