Scott a. Berkman, MD, PLC

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

2013-00195 Issued in NC

Legal business name

SCOTT A. BERKMAN, MD, PLC

Practice address

17332 Newlands Corner Lane
Charlotte, NC 28277-1073

Phone

(480) 227-1178

Fax

(704) 341-7398

NPI assigned

Aug 13, 2008

Last updated

Aug 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott A. Berkman, MD

Title

Owner

Phone

(480) 227-1178

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1164678819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935-D REA ROAD",
            "address_2": "#276",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771073",
            "telephone_number": "480-227-1178",
            "fax_number": "704-341-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17332 NEWLANDS CORNER LANE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771073",
            "telephone_number": "480-227-1178",
            "fax_number": "704-341-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A. BERKMAN, MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "BERKMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-227-1178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NC",
            "license": "2013-00195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "458928",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Urology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.