Provider Demographics
NPI:1720013055
Name:BERMAN, STEVEN E (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:E
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 SIERRA ROSE DR STE 4
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2093
Mailing Address - Country:US
Mailing Address - Phone:775-689-5410
Mailing Address - Fax:775-451-1713
Practice Address - Street 1:605 SIERRA ROSE DR
Practice Address - Street 2:SUITE 4
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2060
Practice Address - Country:US
Practice Address - Phone:775-689-5410
Practice Address - Fax:775-786-9624
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5495208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCC9367OtherBLUE CROSS BLUE SHIELD
NV2016813Medicaid
NV2016813Medicaid
NV30027Medicare ID - Type Unspecified
NV2016813Medicaid