Individual provider Active NPI

Michael Lawrence Berman, DO

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1285635078
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3432 Issued in AZ
Practice address
6320 W Union Hills Dr
BLDG a, Suite 140
Glendale, AZ 85308-1096
Phone
(480) 347-0844
Fax
(480) 347-0885
NPI assigned
Aug 3, 2005
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3432 AZ Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 3432 AZ

Addresses

Primary practice location

6320 W Union Hills Dr
BLDG a, Suite 140
Glendale, AZ 85308-1096

Mailing address

6320 W Union Hills Dr
BLDG a, Suite 140
Glendale, AZ 85308-1096
Phone (480) 347-0844

Other identifiers 1

IdentifierTypeStateIssuer
464173MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050727001006 AZ Practitioner - Internal Medicine 8820026248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berman Medical Consulting PCGroup PAC ID 8820027352, 8 clinicians

Practice addresses (Care Compare)

6320 W Union Hills Dr
Suite 140
Glendale, AZ 85308-7172

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
11.67 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
38.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue769
Removal of skin lesions27
Removal of nail tissue85
Removal or shaving of skin growth50
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3432AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Berman Medical Consulting, PC Internal Medicine CurrentSince Apr 12, 2005 Accepting new patients
Bruce a Bethancourt MD PC Internal Medicine Past Accepting new patients

Locations

6320 W Union Hills Dr
Ste 140
Glendale, AZ 85308
Phone (480) 347-0844

6501 E Greenway Pkwy
Ste 103
Scottsdale, AZ 85254
Phone (602) 494-5015

6501 E Greenway Pkwy
Ste 103433
Scottsdale, AZ 85254
Phone (480) 347-0844

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1285635078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR",
            "address_2": "BLDG A, SUITE 140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081096",
            "telephone_number": "480-347-0844",
            "fax_number": "480-347-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR",
            "address_2": "BLDG A, SUITE 140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081096",
            "telephone_number": "480-347-0844",
            "fax_number": "480-347-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3432",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "AZ",
            "license": "3432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464173",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.