Justin M Berman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA05563 Issued in PA

Practice address

1821 Fulton St
Harrisburg, PA 17102-1522

Phone

(717) 230-2909

NPI assigned

Jul 12, 2012

Last updated

Jul 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamilton Health Center, Inc.Group PAC ID 0042119547, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hamilton Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Harrisburg, PA
  • NPI 1497779862
  Medicare reassignment Care Compare group NPD
• Hamilton Health Center, Inc

  • Community/Retail Pharmacy
  • Harrisburg, PA
  • NPI 1902496573
  NPD
• CRHS@ Hamilton Health Center

  dba Hamilton Health Center

  • Federally Qualified Health Center (FQHC)
  • Harrisburg, PA
  • NPI 1023058534
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1497010664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 MARILYN DR",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831226",
            "telephone_number": "610-609-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 FULTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171021522",
            "telephone_number": "717-230-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA05563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Bentz
• Lisa Ann Berg, CRNP
• Alissa Kate Bergstresser, CRNP
• Luke Borden Berguson, DPT
• Diana Berkstresser, CRNA
• Catharine Ellen Bernal, MD
• Ann F. Bero, MSN, CRNP CS
• Jennifer Berry, RPH
• Katelyn Berry
• Katherine A Berry, MD

• Physician Assistant in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.

Verify at the official NPI Registry.