Organization Active NPI

Berman Neurosurgery Inc

  • Neurological Surgery Physician
  • Temecula, CA
National Provider Identifier
1629703301
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
BERMAN NEUROSURGERY INC
Practice address
27455 Tierra Alta Way
Temecula, CA 92590-3498
Phone
(909) 477-0894
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Blake W Berman, D.O.NPI 1023164365
Title
Owner
Phone
(909) 477-0894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

27455 Tierra Alta Way
Temecula, CA 92590-3498

Mailing address

2968 Stable PL
Escondido, CA 92029-2409
Phone (909) 477-0894

National Provider Directory

National Provider Directory

Locations

27455 Tierra Alta Way
Temecula, CA 92590
Phone (909) 477-0894

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1629703301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 STABLE PL",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920292409",
            "telephone_number": "909-477-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27455 TIERRA ALTA WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903498",
            "telephone_number": "909-477-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERMAN NEUROSURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-477-0894",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.