Individual provider Active NPI

David Alan Berman, D.P.M.

  • Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1508941592
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0251 Issued in AZ
Practice address
5024 E Blanche Dr
Scottsdale, AZ 85254-2229
Phone
(602) 689-8883
Fax
(602) 953-5751
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0251 AZ Primary

Addresses

Primary practice location

5024 E Blanche Dr
Scottsdale, AZ 85254-2229

Mailing address

5024 E Blanche Dr
Scottsdale, AZ 85254-2229
Phone (602) 689-8883

Other identifiers 3

IdentifierTypeStateIssuer
700303MedicaidAZ
AZ0190020OtherAZBCBS OF ARIZONA
27-00009OtherAZEVERCARE ARIZONA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000636 AZ Practitioner - Podiatry 2668407503 Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508941592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 E BLANCHE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542229",
            "telephone_number": "602-689-8883",
            "fax_number": "602-953-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 E BLANCHE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542229",
            "telephone_number": "602-689-8883",
            "fax_number": "602-953-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700303",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARIZONA",
            "identifier": "AZ0190020",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE ARIZONA",
            "identifier": "27-00009",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.