NPIMap

Organization Active NPI

Berman Medical Consulting, PC

Doing business as Valley Wound Care Specialists

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1457303539
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BERMAN MEDICAL CONSULTING, PC
Doing business as
Valley Wound Care Specialists
Practice address
6320 W Union Hills Drive
Building a, Suite 140
Glendale, AZ 85308
Phone
(480) 347-0844
Fax
(480) 347-0885
NPI assigned
May 16, 2006
Last updated
Feb 24, 2021By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. Michael Lawrence Berman, DONPI 1285635078
Title
President
Phone
(480) 347-0844

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

6320 W Union Hills Drive
Building a, Suite 140
Glendale, AZ 85308

Mailing address

6320 W Union Hills Drive
Building a, Suite 140
Glendale, AZ 85308
Phone (480) 347-0844

Other identifiers 2

IdentifierTypeStateIssuer
464173MedicaidAZ
AZ0784280OtherAZBCBS

Other names 1

  • Valley Wound Care Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050804001242 AZ Part B Supplier - Clinic/Group Practice 8820027352 Receives reassigned benefits from 8 practitioners
Practice locations: Glendale, AZ; Sun City, AZ
O20190716001806 AZ DME Supplier - Physician - Internal Medicine 8820027352 Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1457303539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DRIVE",
            "address_2": "BUILDING A, SUITE 140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "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 DRIVE",
            "address_2": "BUILDING A, SUITE 140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "480-347-0844",
            "fax_number": "480-347-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERMAN MEDICAL CONSULTING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-347-0844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464173",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0784280",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Wound Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Wound Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.