Physician Compare National (NPI:1700967361)

HEALTHCARE PROVIDER: RONALD H BERMAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1700967361
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587857669
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101021000482
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BERMAN
	Individual professional last name
Provider First Name	RONALD
	Individual professional first name
Provider Middle Name	HOLLINS
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1964
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2023 VALE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	SAN PABLO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	948063891
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5102351723
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050305
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y