Active NPI
Jonathan Steven Berman, M.D.
- Family Medicine Physician
- Lafayette, CO
National Provider Identifier
1932257466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35714
- Practice address
- 1000 W South Boulder Rd
Lafayette, CO 80026-2752 - Phone
- (303) 666-4357
- NPI assigned
- Jan 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35714 | CO | Primary |
Addresses
Primary practice location
1000 W South Boulder Rd
Lafayette, CO 80026-2752
Mailing address
720 Willowbrook Rd
Boulder, CO 80302-7437
Phone (303) 443-8032
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29754 | CO | MD | Anesthesiology Physician |
| 35714 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants PC | Past | Accepting new patients | |
| Trinidad Area Health Association | Family Medicine | Past | Accepting new patients |
| Boulder Community Health | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Lakewood, CO
- NPI 1164460598
-
dba Community Medical Associates of BCH
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1609822030
-
dba Mt. San Rafael Hospital Clinic
- Family Medicine Physician
- Trinidad, CO
- NPI 1467400309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932257466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WILLOWBROOK RD",
"city": "BOULDER",
"state": "CO",
"postal_code": "803027437",
"telephone_number": "303-443-8032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W SOUTH BOULDER RD",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262752",
"telephone_number": "303-666-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "JONATHAN",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "35714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.