Active NPI
B Pediatrics, LLC
- Pediatrics Physician
- Savannah, GA
National Provider Identifier
1114343183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 55095
- Legal business name
- B PEDIATRICS, LLC
- Practice address
- 410 Mall Blvd
Suite 410B
Savannah, GA 31406-4821 - Phone
- (912) 472-0314
- Fax
- (912) 472-0315
- NPI assigned
- Mar 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kasey R Berman, MD
- Title
- Sole Proprietor
- Phone
- (912) 507-8386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 55095 | GA | Primary |
Addresses
Primary practice location
410 Mall Blvd
Suite 410B
Savannah, GA 31406-4821
Mailing address
110 E 49TH St
Savannah, GA 31405-2134
Phone (912) 472-0314
Other names 1
- Be Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2080100 | B Pediatrics, LLC | Certificate of waiver | Mar 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
410 Mall Blvd
Ste B
Savannah, GA 31406
Phone (912) 472-0314
410 Mall Blvd
Ste 410B
Savannah, GA 31406
Phone (912) 472-0314
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394668800000",
"number": "1114343183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 49TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314052134",
"telephone_number": "912-472-0314",
"fax_number": "912-472-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 MALL BLVD",
"address_2": "SUITE 410B",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064821",
"telephone_number": "912-472-0314",
"fax_number": "912-472-0315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B PEDIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-13",
"last_updated": "2014-03-13",
"status": "A",
"authorized_official_last_name": "BERMAN",
"authorized_official_first_name": "KASEY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "912-507-8386",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "GA",
"license": "55095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Be Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.