Organization Active NPI

B Pediatrics, LLC

  • Pediatrics Physician
  • Savannah, GA
National Provider Identifier
1114343183
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
55095 Issued in GA
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

Updated by the provider on Mar 13, 2014

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2080100B Pediatrics, LLC410 Mall Blvd Suite B, Savannah, GA 31406Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.