Individual provider Active NPI

Jonathan Ross Berman, M.D.

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1043316490
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0057530 Issued in FL
Practice address
670 Glades Rd
240
Boca Raton, FL 33431-6461
Phone
(561) 470-0171
Fax
(561) 417-2023
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0057530 FL Primary

Addresses

Primary practice location

670 Glades Rd
240
Boca Raton, FL 33431-6461

Mailing address

670 Glades Rd
240
Boca Raton, FL 33431-6461
Phone (561) 417-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001658 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 3971589854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
Education
State University of New York Downstate Medical Center, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

670 Glades Rd
Boca Raton, FL 33431-6464
Phone (561) 417-0171

670 Glades Rd
Suite 240
Boca Raton, FL 33431-6461

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0057530FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan R. Berman, M.D., P.a. Specialist CurrentSince Jun 4, 1990 Accepting new patients
Berman Oakwood Company, LLC Past Accepting new patients

Locations

670 Glades Rd
Ste 240
Boca Raton, FL 33431
Phone (561) 417-0171

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1043316490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 GLADES RD",
            "address_2": "240",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316461",
            "telephone_number": "561-417-0171",
            "fax_number": "561-417-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GLADES RD",
            "address_2": "240",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316461",
            "telephone_number": "561-470-0171",
            "fax_number": "561-417-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JONATHAN",
        "middle_name": "ROSS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0057530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.