Individual provider Active NPI

David Berman, CRNP

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1013204668
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R126842 Issued in MD
Practice address
8209 Stevenson Rd
Baltimore, MD 21208-1832
Phone
(410) 365-8714
NPI assigned
Jul 5, 2011
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R126842 MD Primary

Addresses

Primary practice location

8209 Stevenson Rd
Baltimore, MD 21208-1832

Mailing address

8209 Stevenson Rd
Baltimore, MD 21208-1832
Phone (410) 365-8714

Other identifiers 1

IdentifierTypeStateIssuer
00489152OtherMDSTATE OF MD CDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110708000499 MD Practitioner - Nurse Practitioner 9638357965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
81.34
Promoting interoperability
100
Improvement activities
40
Cost
70.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R126842MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Pain & Rehabilitation Center CurrentSince May 22, 2019 Accepting new patients
Ritu Bhambhani LLC CurrentSince Nov 16, 2019 Accepting new patients
Choice Pain & Rehabilitation Center, LLC CurrentSince May 22, 2019 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Sep 28, 2020 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Sep 28, 2020 Accepting new patients
Lifebridge Community Physicians, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 Walter Ward Blvd
Ste 3
Abingdon, MD 21009
Phone (410) 569-3333

1005 Northpoint Blvd
Ste 722
Baltimore, MD 21224
Phone (240) 534-3289

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

8843 Greenbelt Rd
Greenbelt, MD 20770
Phone (240) 297-9857

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1013204668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8209 STEVENSON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081832",
            "telephone_number": "410-365-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8209 STEVENSON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081832",
            "telephone_number": "410-365-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R126842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MD CDS",
            "identifier": "00489152",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.