Active NPI
David Lionel Berman, DPM
- Podiatrist
- Brookhaven, PA
National Provider Identifier
1902829864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001524L
- Practice address
- 4000 Edgmont Ave
Brookhaven, PA 19015-2211 - Phone
- (610) 874-2422
- Fax
- (610) 874-2491
- NPI assigned
- Jul 25, 2006
- Last updated
- Mar 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001524L | PA | Primary |
| Podiatrist | 213E00000X | Z5MD00138800 | NJ |
Addresses
Primary practice location
4000 Edgmont Ave
Brookhaven, PA 19015-2211
Mailing address
4000 Edgmont Ave
Brookhaven, PA 19015-2211
Phone (610) 874-2422
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050148 | Medicaid | PA | |
| 122804 | Other | PA | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Z5MD00138800 | NJ | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1902829864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 EDGMONT AVE",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190152211",
"telephone_number": "610-874-2422",
"fax_number": "610-874-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 EDGMONT AVE",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190152211",
"telephone_number": "610-874-2422",
"fax_number": "610-874-2491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "DAVID",
"middle_name": "LIONEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001524L",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "Z5MD00138800",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050148",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "122804",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, PA
- Kenny Khoi Ao
- Asa Caregiving Agency LLC
- Ana Beard, CRNP
- Behavioral Care Experts LLC
- Kimberly Behling, M.A. CCC-SLP/L
- Lorraine Claudia Blagman, CRNP FAMILY HEALTH
- Richard Francis Blonski, D.M.D.
- Marjorie G. Bowen, CRNP
- Brookhaven Family Dentistry
- Brookhaven Family Eye Care Center (Brookhaven Vision Source)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.