Jeremy Berman

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0116019469 Issued in VA

Practice address

505 S 336TH St Ste 500
Federal Way, WA 98003-8300

Phone

(206) 962-3535

NPI assigned

May 7, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jberman@landmarkhealth-direct.org

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.

• Eastside Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Issaquah, WA
  • NPI 1689683229

  Emergency Medicine

  NPD
• Seattle Emergency Physicians Services Inc PS

  • Emergency Medicine Physician
  • Seattle, WA
  • NPI 1376642298

  Emergency Medicine

  NPD (past)
• Landmark Health of Oregon LLC

  • General Practice Physician
  • Tigard, OR
  • NPI 1205226214
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1548436751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVENE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S 336TH ST STE 500",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038300",
            "telephone_number": "206-962-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5933 NE Win Sivers Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972209106",
            "country_code": "US",
            "telephone_number": "503-420-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Eye Street NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20037",
            "country_code": "US",
            "telephone_number": "202-741-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0116019469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Marguerite Benz-Merritt
• Reilly Benz, PHARM. D
• Mary Pat Bergin, RN
• Samantha Bergstrom, FNP-BC
• Nickisha Naulie Berlus, M.D.
• Ann Berryman, CCC/SLP
• Best Care Chiropractic and Wellness Inc.
• Beverly Renee Beste
• Dorinda K Betcher, LMP
• Richard Alan Bethke, MD

• All providers in Federal Way, WA
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.