Individual provider Active NPI

Paula Edith Bermann, N.P.

  • Family Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1265474407
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 109098 Issued in GA
Practice address
303 E 48TH St
Savannah, GA 31405-2225
Phone
(912) 234-6779
Fax
(912) 234-6779
NPI assigned
Jun 12, 2006
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2594 SC
Family Nurse Practitioner 363LF0000X RN 109098 GA Primary

Addresses

Primary practice location

303 E 48TH St
Savannah, GA 31405-2225

Mailing address

303 E 48TH St
Savannah, GA 31405-2225
Phone (912) 234-6779

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2594SCMDGeneral Practice Dentistry
RN 109098GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1265474407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E 48TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052225",
            "telephone_number": "912-234-6779",
            "fax_number": "912-234-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E 48TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052225",
            "telephone_number": "912-234-6779",
            "fax_number": "912-234-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMANN",
        "first_name": "PAULA",
        "middle_name": "EDITH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2594",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN 109098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 26, 2012; 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.