James Edward Berman, M.D.
Individual provider Active NPI Dermatology Physician · Glendale, WI
NPI 1821047283 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1821047283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 27925 (WI)
- Practice address
- 7040 N Port Washington Rd
Suite 404
Glendale, WI 53217-3885 - Phone
- (414) 355-2405
- Fax
- (414) 355-6460
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- University of Wisconsin School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Forefront Dermatology SC
Practice addresses (Care Compare)
1400 Scheuring Rd
De Pere, WI 54115-1067
Phone (920) 964-0229
2600 N Mayfair Rd
Suite 810
Milwaukee, WI 53226-1328
Phone (414) 771-1122
7040 N Port Washington Rd
Suite 404
Glendale, WI 53217-3885
Phone (414) 355-2405
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 533 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 11 |
| Skin biopsy | 92 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071017000500 | WI | Practitioner - Dermatology | 2062508401 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27925 | WI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee Inc | Current |
Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Dermatology | Current |
Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current |
Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current |
Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Dermatology | Past | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
7040 N Port Washington Rd
Ste 404
Glendale, WI 53217
Phone (414) 355-2405
801 York St
Manitowoc, WI 54220
Phone (866) 630-9882
9252 N Green Bay Rd
Milwaukee, WI 53209
Phone (414) 527-5089
10950 W Capitol Dr
Wauwatosa, WI 53222
Phone (414) 464-4460
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Interoperability endpoints
- james.berman@forefrontdermatology.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 27925 | WI | |
| Pediatric Dermatology Physician | 207NP0225X | 27925 | WI | |
| Procedural Dermatology Physician | 207NS0135X | 27925 | WI | |
| Dermatology Physician | 207N00000X | 27925 | WI | Yes |
Addresses
Primary practice location
7040 N Port Washington Rd
Suite 404
Glendale, WI 53217-3885
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52DO946226 | Other | WI | CLIA |
| 31392100 | Medicaid | WI | |
| 391130058 | Other | WI | TAX ID# |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | James.Berman@forefrontdermatology.emadirect.md |
Other providers in Glendale, WI
- Megan Ruth Beier
- Kashes Bender
- Lisa Suzanne-Poss Benson
- Kenneth C Berg
- Steven R Bergquist
- Better Living Afh LLC
- Rachel Marie Biel
- Robert N. Bilkovski
- Jazmin Christine Binns
- Raymond C Bisesi
All providers in Glendale, WI · Dermatology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.