Active NPI
Mikhail N Berman, M.D.
- Family Medicine Physician
- Palm Beach Gardens, FL
National Provider Identifier
1629011887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0045620
- Practice address
- 8295 North Military Trail
Suite G
Palm Beach Gardens, FL 33410 - Phone
- (561) 626-3205
- Fax
- (888) 959-2478
- NPI assigned
- Jun 14, 2006
- Last updated
- Jun 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0045620 | FL | Primary |
Addresses
Primary practice location
8295 North Military Trail
Suite G
Palm Beach Gardens, FL 33410
Mailing address
8295 North Military Trail
Suite G
Palm Beach Gardens, FL 33410
Phone (561) 626-3205
Other practice location 1
12901 NW 27 Ave
Miami, FL 33167
Phone (305) 681-2855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044198800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151228001079 | FL | Order and Referring Only - Family Practice | 4587842000 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0045620 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Multispecialty Associates LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1235160482
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1629011887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8295 NORTH MILITARY TRAIL",
"address_2": "SUITE G",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-626-3205",
"fax_number": "888-959-2478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8295 NORTH MILITARY TRAIL",
"address_2": "SUITE G",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-626-3205",
"fax_number": "888-959-2478"
}
],
"practiceLocations": [
{
"address_1": "12901 NW 27 Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33167",
"country_code": "US",
"telephone_number": "305-681-2855",
"fax_number": "305-681-4533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMAN",
"first_name": "MIKHAIL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0045620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044198800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.