Individual provider Active NPI

Nancy B. Berman, N.P.

  • Adult Health Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1174530398
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704101059 Issued in MI
Practice address
28625 Northwestern Hwy
Suite 213
Southfield, MI 48034-1828
Phone
(248) 354-9666
Fax
(248) 354-3653
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704101059 MI Primary

Addresses

Primary practice location

28625 Northwestern Hwy
Suite 213
Southfield, MI 48034-1828

Mailing address

28625 Northwestern Hwy
Suite 213
Southfield, MI 48034-1828
Phone (248) 354-9666

Other identifiers 2

IdentifierTypeStateIssuer
5008668630OtherMIINDIVIDUAL BS
383328522OtherMIFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000675 MI Practitioner - Nurse Practitioner 2466586144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Nov 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients

Locations

32255 Northwestern Hwy
Ste 130B
Farmington Hills, MI 48334
Phone (248) 354-9666

32255 Northwestern Hwy
Ste 130
Farmington Hills, MI 48334
Phone (248) 538-6463

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

25241 Grand River Ave
Redford, MI 48240
Phone (313) 538-3099

28625 Northwestern Hwy
Ste 213
Southfield, MI 48034
Phone (248) 354-9666

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 12

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1174530398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28625 NORTHWESTERN HWY",
            "address_2": "SUITE 213",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341828",
            "telephone_number": "248-354-9666",
            "fax_number": "248-354-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28625 NORTHWESTERN HWY",
            "address_2": "SUITE 213",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341828",
            "telephone_number": "248-354-9666",
            "fax_number": "248-354-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "NANCY",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704101059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BS",
            "identifier": "5008668630",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "383328522",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.