Individual provider Active NPI

Joel M Berman, MD

  • Diagnostic Radiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1477532455
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
69495 Issued in FL
Practice address
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone
(954) 267-6650
Fax
(954) 351-7874
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 69495 FL Primary

Addresses

Primary practice location

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603

Mailing address

PO Box 11398
Fort Lauderdale, FL 33339-1398
Phone (877) 448-8675

Other identifiers 1

IdentifierTypeStateIssuer
379094100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN2 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
I20051103000230 FL Practitioner - Diagnostic Radiology 8022036516 Reassigns benefits to 1 organization
I20240131000843 MN Practitioner - Diagnostic Radiology 8022036516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364

Hospital & facility affiliations

  • Essentia Health Duluth Hospital, Duluth, MN, CCN 240019
  • Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002
  • St Marys Hospital Superior Hospital, Superior, WI, CCN 521329
  • Essentia Health Virginia Hospital, Virginia, MN, CCN 240084
  • Ely - Bloomenson Community Hospital Hospital, Ely, MN, CCN 241318

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69495FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD. CurrentSince Jan 3, 2024 Accepting new patients
South Florida Medical Imaging, PA Diagnostic Radiology CurrentSince Nov 15, 1995 Accepting new patients
The Duluth Clinic, LTD CurrentSince Jan 3, 2024 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Mercy Medical Development Inc Diagnostic Radiology Past Accepting new patients
Lsu Medical Center Past Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Past Accepting new patients

Locations

2900 N Military Trl
Ste 120
Boca Raton, FL 33431
Phone (561) 314-2505

2555 Ponce de Leon Blvd
Fl 4
Coral Gables, FL 33134

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

3641 S Miami Ave
Miami, FL 33133
Phone (305) 854-3636

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1477532455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11398",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333391398",
            "telephone_number": "877-448-8675",
            "fax_number": "772-621-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-267-6650",
            "fax_number": "954-351-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JOEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "69495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379094100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.