Physician Compare National (NPI:1902829864)

HEALTHCARE PROVIDER: DAVID LIONEL BERMAN DPM

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

Individual Professional Information
NPI	1902829864
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941384531
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080220000569
	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	DAVID
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4000 EDGMONT AVE
	Group Practice or individual's line 1 address
City	BROOKHAVEN
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190152211
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6108742422
	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	390180
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CROZER CHESTER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y