MEDICARE: SCOTT A. BERKMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	27183	AZ
2	2088P0231X	Pediatric Urology Physician	2013-00195	NC
3	2088P0231X	Pediatric Urology Physician	J1876	TX
4	2088P0231X	Pediatric Urology Physician	C147490	CA
5	2088P0231X	Pediatric Urology Physician	44654	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275513665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT A. BERKMAN M.D.

Provider Business Mailing Address
First Line	:	6600 S YALE AVE STE 1200
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-3361
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6465 S YALE AVE STE 901
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-7823
Country	:	US
Telephone Number	:	918-502-9240
Fax Number	:	918-502-9245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	03/27/2025

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Directions to “ SCOTT A. BERKMAN M.D.” Practice Location

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