Individual provider Active NPI

Barry Ronald Berman, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Owings Mills, MD
National Provider Identifier
1811998966
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
4790 Issued in MD
Practice address
110 Painters Mill Rd
Suite 8
Owings Mills, MD 21117-4920
Phone
(410) 363-4422
Fax
(410) 581-1825
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 4790 MD Primary

Addresses

Primary practice location

110 Painters Mill Rd
Suite 8
Owings Mills, MD 21117-4920

Mailing address

110 Painters Mill Rd
Suite 8
Owings Mills, MD 21117-4920
Phone (410) 363-4422

Other identifiers 1

IdentifierTypeStateIssuer
45061000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1811998966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD",
            "address_2": "SUITE 8",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174920",
            "telephone_number": "410-363-4422",
            "fax_number": "410-581-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD",
            "address_2": "SUITE 8",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174920",
            "telephone_number": "410-363-4422",
            "fax_number": "410-581-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "BARRY",
        "middle_name": "RONALD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MD",
            "license": "4790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45061000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.