MEDICARE: DR. PETER 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
1	207R00000X	Internal Medicine Physician	G87253	CA

General Provider Information

NPI Number	:	1942382056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER BERMAN MD

Provider Business Mailing Address
First Line	:	516 NOE ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-2528
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	551 MINNA ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2831
Country	:	US
Telephone Number	:	415-626-2951
Fax Number	:	415-626-1096

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/08/2007

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