Mitchell Berman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

655571 Issued in FL

Practice address

1075 NE Miami Gardens Dr Apt 110W
Miami, FL 33179-4632

Phone

(954) 663-1969

NPI assigned

Mar 11, 2022

Last updated

Mar 11, 2022By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mitchell.berman.1@4307.direct.athenahealth.com

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.

• Premier Healthcare Centers, LP

  dba Common Health

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1669931762
  Medicare reassignment NPD
• Lowell F. Clark MD PA

  • Internal Medicine Physician
  • Bushnell, FL
  • NPI 1629278882
  Medicare reassignment

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1639827389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 NE MIAMI GARDENS DR APT 110W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794632",
            "telephone_number": "954-663-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 NE MIAMI GARDENS DR APT 110W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794632",
            "telephone_number": "954-663-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "MITCHELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "655571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lee Berkshire, DO
• Alfredys R Berlanga Mineto, MD
• Estrella Berlanga
• Tali Yuz Berliner, PSY.D
• Jessica L Berman
• Paul Bermanski, MD
• Adriana Bermejo Garcia
• Larisa Dagne Bermejo, MA
• Rosanna Bermejo
• Claudia Bermeo Grajales, LMHC

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.