Active NPI
David Michael Berman, D.O.
- Pediatric Infectious Diseases Physician
- St Petersburg, FL
National Provider Identifier
1114902889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- OS 7995
- Practice address
- 880 6TH St S
Suite # 240
St Petersburg, FL 33701-4827 - Phone
- (727) 767-4160
- Fax
- (727) 767-8270
- NPI assigned
- Dec 14, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | OS 7995 | FL | Primary |
Addresses
Primary practice location
880 6TH St S
Suite # 240
St Petersburg, FL 33701-4827
Mailing address
880 6TH Street South Physician Office Building
Suite # 240
St Petersburg, FL 33701-3457
Phone (727) 767-4160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 7995 | FL | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physician Services, Inc. | Pediatric Infectious Diseases | Past | Accepting new patients |
Interoperability endpoints
- dberman732998@direct.hopkinsmedicine.org
Organizations & group practices 1
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.
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
Pediatric Infectious Diseases
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114902889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 6TH STREET SOUTH PHYSICIAN OFFICE BUILDING",
"address_2": "SUITE # 240",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013457",
"telephone_number": "727-767-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 6TH ST S",
"address_2": "SUITE # 240",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014827",
"telephone_number": "727-767-4160",
"fax_number": "727-767-8270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "FL",
"license": "OS 7995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.