Active NPI
Blake M Berman, MD
- Diagnostic Radiology Physician
- Deland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME97498
- Practice address
- 701 W Plymouth Ave
Deland, FL 32720-3236 - Phone
- (386) 943-3160
- Fax
- (317) 705-5047
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 4301052661 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 4301052661 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | ME97498 | FL | Primary |
Addresses
Primary practice location
701 W Plymouth Ave
Deland, FL 32720-3236
Mailing address
4914 Pacifico CT
Palm Beach Gardens, FL 33418-8994
Phone (248) 310-3603
Other practice location 1
4914 Pacifico Ct
Palm Beach Gardens, FL 33418-8994
Phone (248) 310-3603
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3056378 | Medicaid | MI | |
| 3056387 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, NC, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Wayne State University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26 Lakeland Dr
Miramar Beach, FL 32550-4632
Phone (717) 932-5200
4914 Pacifico CT
Palm Beach Gardens, FL 33418-8994
Phone (717) 932-5200
Hospital & facility affiliations
- Upmc Pinnacle Hospitals
- Upmc Hanover
- Upmc Memorial
- Upmc Carlisle
- Wellspan Evangelical Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.93 of 100
- Quality
- 90.59
- Improvement activities
- 40
- Cost
- 57.01
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301052661 | MI | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Radiology Imaging at Lake Mary, LLC | Nuclear Radiology | Current | Accepting new patients |
| Rapid Radiology, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Quantum Imaging & Therapeutic Associates Inc | Nuclear Radiology | Current | Accepting new patients |
| Michigan Diagnostic Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Radiology Associates of Flint PC | Diagnostic Radiology | Past | Accepting new patients |
| Lifetest Michigan LLC | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
555 Washington St
San Diego, CA 92103
Phone (619) 260-8300
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142
900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
765 W Nasa Blvd
Melbourne, FL 32901
Phone (321) 409-4044
235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414
3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719
2401 S Side Blvd
Greensboro, NC 27406
Phone (336) 271-2800
351 S 40th St
Muskogee, OK 74401
Phone (918) 682-6161
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
6548 Comanche Trl
Ste 501
Austin, TX 78732
3698 620 S
Ste 110
Austin, TX 78738
4929 Burney Dr
Ste 120
Corpus Christi, TX 78411
Phone (512) 673-7552
3500 Gaston Ave
Dallas, TX 75246
815 8th Ave
Ft Worth, TX 76104
Phone (817) 332-4812
6441 Main St
Houston, TX 77030
Phone (713) 790-0500
205 Hollow Tree Ln
Houston, TX 77090
Phone (713) 807-8686
2121 Lohmans Crossing Rd
Ste 504
Lakeway, TX 78734
Phone (469) 420-0707
Organizations & group practices 12
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.
-
- Diagnostic Radiology Physician
- Lewisberry, PA
- NPI 1609863893
FL, Nuclear Radiology
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1073785044
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1740256494
Nuclear Radiology
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
- Diagnostic Radiology Physician
- Austin, TX
- NPI 1619300431
-
- Diagnostic Radiology Physician
- Flint, MI
- NPI 1790750966
-
- Diagnostic Radiology Physician
- Marquette, MI
- NPI 1164943007
-
- Diagnostic Radiology Physician
- Southfield, MI
- NPI 1336114503
-
- Diagnostic Radiology Physician
- Flint, MI
- NPI 1609841873
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1124076039
-
- General Acute Care Hospital
- Carlisle, PA
- NPI 1689107328
-
- General Acute Care Hospital
- Hanover, PA
- NPI 1730158981
-
- General Acute Care Hospital
- York, PA
- NPI 1063945707
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1487684239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4914 PACIFICO CT",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334188994",
"telephone_number": "248-310-3603",
"fax_number": "561-622-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W PLYMOUTH AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327203236",
"telephone_number": "386-943-3160",
"fax_number": "317-705-5047"
}
],
"practiceLocations": [
{
"address_1": "4914 Pacifico Ct",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334188994",
"country_code": "US",
"telephone_number": "248-310-3603",
"fax_number": "561-622-6399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMAN",
"first_name": "BLAKE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "MI",
"license": "4301052661",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301052661",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME97498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3056378",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3056387",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.