Individual provider Active NPI

Glen Berman, D.C.

  • Chiropractor
  • Tamarac, FL
National Provider Identifier
1336209667
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006313 Issued in FL
Practice address
8333 W McNab Rd
Tamarac, FL 33321-3242
Phone
(954) 726-8424
Fax
(954) 572-4409
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006313 FL Primary

Addresses

Primary practice location

8333 W McNab Rd
Tamarac, FL 33321-3242

Mailing address

8333 W McNab Rd Ste 128
Tamarac, FL 33321-3203
Phone (954) 726-8424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118002606 FL Practitioner - Chiropractic 1456504711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7768 A NW 44TH St
Lauderhill, FL 33351-6204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0006313FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action, Inc Chiropractor CurrentSince Sep 9, 2025 Accepting new patients

Locations

7768A NW 44th St
Lauderhill, FL 33351
Phone (954) 909-0650

Organizations & group practices 1

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1336209667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD STE 128",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213203",
            "telephone_number": "954-726-8424",
            "fax_number": "954-572-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213242",
            "telephone_number": "954-726-8424",
            "fax_number": "954-572-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "GLEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.