Individual provider Active NPI

Brian L Berman, M.D.

  • Emergency Medicine Physician
  • Athens, GA
National Provider Identifier
1306824693
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
32696 Issued in GA
Practice address
1230 Baxter St
Athens, GA 30606-3712
Phone
(706) 543-3449
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 32696 GA Primary

Addresses

Primary practice location

1230 Baxter St
Athens, GA 30606-3712

Mailing address

PO Box 48298
Athens, GA 30604-8298
Phone (706) 543-3449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041202000550 GA Practitioner - Emergency Medicine 4486610383 Reassigns benefits to 1 organization
I20110726000159 FL Practitioner - Emergency Medicine 4486610383 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32696GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Emergency Services of Florida PA Emergency Medicine Current Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Emory Specialty Associates, LLC Emergency Medicine CurrentSince Mar 1, 2014 Accepting new patients
Sterling Emergency Services of Florida PA Emergency Medicine CurrentSince Apr 3, 2012 Accepting new patients
Sterling Emergency Services of Florida PA Emergency Medicine CurrentSince Apr 3, 2012 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine Current Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Florida Em-I Medical Services, PA Emergency Medicine Past Accepting new patients
East Florida Emergency Physician Group LLC Emergency Medicine Past Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2674 Capital Cir SE
Tallahassee, FL 32311
Phone (850) 325-5888

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

1201 Siloam Rd
Greensboro, GA 30642
Phone (706) 453-7331

5665 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (678) 843-7001

Organizations & group practices 10

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1306824693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48298",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048298",
            "telephone_number": "706-543-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063712",
            "telephone_number": "706-543-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "32696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.