Individual provider Active NPI

Jerry Lloyd Berman, D.O.

  • Anesthesiology Physician
  • Hampton, VA
National Provider Identifier
1972571701
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0102201502 Issued in VA
Practice address
100 Emancipation Dr
Hampton, VA 23667-2197
Phone
(757) 722-9961
NPI assigned
Mar 9, 2006
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0102201502 VA Primary

Addresses

Primary practice location

100 Emancipation Dr
Hampton, VA 23667-2197

Mailing address

204 Arnies Loop
Cape Charles, VA 23310-2371
Phone (757) 323-9399

Other practice location 1

620 John Paul Jones Circle
Portsmouth, VA 23708-2197
Phone (757) 953-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040610001352 VA Practitioner - AnesthesiologyPractitioner - Family Practice 6204819139 Reassigns benefits to 4 organizations
I20230605002490 DC Practitioner - Anesthesiology 6204819139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Group, LLC Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
Ambulatory Anesthesia Associates LLC Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Dec 15, 2022 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1972571701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ARNIES LOOP",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233102371",
            "telephone_number": "757-323-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMANCIPATION DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236672197",
            "telephone_number": "757-722-9961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Circle",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082197",
            "country_code": "US",
            "telephone_number": "757-953-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JERRY",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0102201502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.