Organization Active NPI

Brett J. Berman, M.D., Professional Corporation

  • Cardiovascular Disease Physician
  • Chula Vista, CA
National Provider Identifier
1417112939
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A78854 Issued in CA
Legal business name
BRETT J. BERMAN, M.D., PROFESSIONAL CORPORATION
Practice address
321 E St Ste a
Chula Vista, CA 91910-2667
Phone
(619) 934-3260
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Brett J. Berman, M.D.NPI 1457446684
Title
President
Phone
(858) 450-1246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A78854 CA Primary

Addresses

Primary practice location

321 E St Ste a
Chula Vista, CA 91910-2667

Mailing address

PO Box 120847
Chula Vista, CA 91912-4447
Phone (858) 450-1246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081203000848 CA Part B Supplier - Clinic/Group Practice 1759442163 Receives reassigned benefits from 1 practitioner
Practice locations: Chula Vista, CA; La Jolla, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

450 Fourth Ave
Ste 215
Chula Vista, CA 91910
Phone (512) 375-3210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1417112939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120847",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919124447",
            "telephone_number": "858-450-1246",
            "fax_number": "858-453-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E ST STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102667",
            "telephone_number": "619-934-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT J. BERMAN, M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-450-1246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A78854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.