Active NPI
Jason Berman, CRNP
- Nurse Practitioner
- Elkmont, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1087527
- Practice address
- 25442 Al Highway 127
Elkmont, AL 35620-6608 - Phone
- (256) 732-3712
- Fax
- (256) 732-3714
- NPI assigned
- Jun 22, 2006
- Last updated
- Dec 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1087527 | AL | Primary |
Addresses
Primary practice location
25442 Al Highway 127
Elkmont, AL 35620-6608
Mailing address
25442 Al Highway 127
Elkmont, AL 35620-6608
Phone (256) 732-3712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-087527 | Other | AL | ALABAMA BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Governors Dr SW
Huntsville, AL 35801-5126
Phone (256) 667-3708
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 41.83 of 100
- Quality
- 3.95
- Improvement activities
- 40
- Cost
- 82.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crestwood HB Medical Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Trinity Medical Care, LLC | Current | Accepting new patients | |
| App of Alabama Ed PLLC | Current | Accepting new patients | |
| Northeast Alabama Health Services, Inc. | Past | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000
500 Governors Dr SW
Huntsville, AL 35801
Phone (256) 518-9998
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Huntsville, AL
- NPI 1578506838
-
- Emergency Medicine Physician
- Russellville, AL
- NPI 1659646040
-
- Emergency Medicine Physician
- Huntsville, AL
- NPI 1548940497
Nurse Practitioner
-
- Emergency Medicine Physician
- Huntsville, AL
- NPI 1811842826
-
dba Northeast Alabama Health Services Inc - North Sand Mountain
- Federally Qualified Health Center (FQHC)
- Bryant, AL
- NPI 1356498505
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1013953314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25442 AL HIGHWAY 127",
"city": "ELKMONT",
"state": "AL",
"postal_code": "356206608",
"telephone_number": "256-732-3712",
"fax_number": "256-732-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25442 AL HIGHWAY 127",
"city": "ELKMONT",
"state": "AL",
"postal_code": "356206608",
"telephone_number": "256-732-3712",
"fax_number": "256-732-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "JASON",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1087527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF NURSING",
"identifier": "1-087527",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkmont, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.