Individual provider Active NPI

Brian Berman, M.D., PH.D.

  • Dermatology Physician
  • Aventura, FL
National Provider Identifier
1255316352
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME65221 Issued in FL
Practice address
2925 Aventura Boulevard
S. 205
Aventura, FL 33180
Phone
(305) 933-6716
Fax
(305) 933-6720
NPI assigned
Dec 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME65221 FL Primary

Addresses

Primary practice location

2925 Aventura Boulevard
S. 205
Aventura, FL 33180

Mailing address

2925 Aventura Boulevard
S. 205
Aventura, FL 33180
Phone (305) 933-6716

Other identifiers 1

IdentifierTypeStateIssuer
3712591-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000899 FL Practitioner - Dermatology 7315139623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ME65221FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates Dermatology CurrentSince Jul 25, 2011 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

2925 NE 199th St
Ste 205
Miami, FL 33180
Phone (305) 933-6716

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1255316352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 AVENTURA BOULEVARD",
            "address_2": "S. 205",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-933-6716",
            "fax_number": "305-933-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 AVENTURA BOULEVARD",
            "address_2": "S. 205",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-933-6716",
            "fax_number": "305-933-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME65221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3712591-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.