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NPI Code Detail

MEDICARE: KEVIN M BERMAN MD

MEDICARE:   KEVIN M BERMAN  MD
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
1207RC0000XCardiovascular Disease Physician28977AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4060063387OTHERAZRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125-00625OTHERAZUNITED HEALTHCARE
21Z5674OTHERAZHEALTHNET
3AZ0881510OTHERAZBLUE CROSS BLUE SHIELD
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740287341
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN M BERMAN MD
Provider Business Mailing Address
First Line : 3815 E BELL RD STE 2200
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2139
Country : US
Telephone Number : 602-633-3838
Fax Number : 602-633-3845
Provider Business Practice Location Address
First Line : 6036 N 19TH AVE STE 510
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-2143
Country : US
Telephone Number : 602-973-1113
Fax Number : 602-973-1116
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2005
Last Update Date : 05/11/2020

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Directions to “ KEVIN M BERMAN MD” Practice Location

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