Individual provider Active NPI

David B Berlin, PA-C

  • Medical Physician Assistant
  • Pensacola, FL
National Provider Identifier
1770545360
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002124L Issued in PA
Practice address
760 East Ave BLDG 3911
Pensacola, FL 32508-5136
Phone
(850) 505-7300
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002124L PA Primary

Addresses

Primary practice location

760 East Ave BLDG 3911
Pensacola, FL 32508-5136

Mailing address

9133 Moroso Dr
Pensacola, FL 32506-9752
Phone (860) 941-8773

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL david.b.berlin.mil@health.mil Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110405000419 PA Order and Referring Only - Physician Assistant 2264616903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1770545360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 MOROSO DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325069752",
            "telephone_number": "860-941-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 EAST AVE BLDG 3911",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325085136",
            "telephone_number": "850-505-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002124L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "david.b.berlin.mil@health.mil",
            "affiliation": "N",
            "endpointDescription": "military email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "760 East Ave Bldg 3911",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325085136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.