Bermann Augustin

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001457-P.A. Issued in PR

Practice address

3303 S Keswick PLZ
Philadelphia, PA 19114-1677

Phone

(267) 461-4340

NPI assigned

Jul 22, 2020

Last updated

Nov 6, 2022By 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 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1639787914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S KESWICK PLZ",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141677",
            "telephone_number": "267-461-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S KESWICK PLZ",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141677",
            "telephone_number": "267-461-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "BERMANN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "001457-P.A.",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "20-292",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-292",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "XFINITY",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1354 Harrison St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191245929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Venita Auguste-Duverson, M.A.
• Beth Auguste, R.D.N.
• Perpetua Myriam Auguste, RN
• Wiltherkeen Auguste, PHARMACIST
• Roy K Augusthy, MD
• Madjanie Augustin
• Augustinian Defenders of the Rights of the Poor
• Stanley Jay Aukburg, MD
• Bennett Auker
• Russell Clay Ault, MD, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.