Berming Pan MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BERMING PAN MD INC

Practice address

306 Ohio St
Wanatah, IN 46390-0367

Phone

(219) 733-2755

Fax

(219) 733-2377

NPI assigned

Dec 6, 2007

Last updated

Jan 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chen-Tsu Pan, MD

Title

Medical Doctor

Phone

(702) 486-4255

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geraldine Go Feria, M.D.

  • Internal Medicine Physician
  • Wanatah, IN
  • NPI 1679764492
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1649453226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "WANATAH",
            "state": "IN",
            "postal_code": "463900367",
            "telephone_number": "219-733-2755",
            "fax_number": "219-733-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 OHIO ST",
            "city": "WANATAH",
            "state": "IN",
            "postal_code": "463900367",
            "telephone_number": "219-733-2755",
            "fax_number": "219-733-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERMING PAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "CHEN-TSU",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "702-486-4255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100163680A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000084157",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naji Al-Najjar
• Jennifer Ann Balon, RBT
• Cass Township School Corporation
• Geraldine Go Feria, M.D.
• Jr Stewart D.D.S. Enterprises LLC
• Mackenzee Koselke, PA-C
• Priority Rehab Home Health LLC

• Family Medicine Physician in Wanatah, IN
• Providers in Wanatah, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.