Provider Demographics
NPI:1821095373
Name:BERMAN, MARK N (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:N
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5901A PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:STE 500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5382
Mailing Address - Country:US
Mailing Address - Phone:678-892-2020
Mailing Address - Fax:678-538-1950
Practice Address - Street 1:5995 BARFIELD RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4411
Practice Address - Country:US
Practice Address - Phone:404-256-1507
Practice Address - Fax:404-256-1981
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2021-03-09
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Provider Licenses
StateLicense IDTaxonomies
GA048876207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA176785OtherCOVENTRY HMO
GA582209517OtherCHAMPUS
GA582209517OtherWORK COMP
GA7086365OtherAETNA
GA294424OtherWELLCARE
GA0818950001OtherDME
GA180044532OtherRR MEDICARE
GA00882703CMedicaid
GA2974279OtherAETNA HMO
GA0800477OtherUHC
GA54344OtherCOVENTRY PPO
GA10044579OtherAMERIGROUP
GA288586OtherBCBS
GA00882703BMedicaid
GA00882703BMedicaid
GA0800477OtherUHC
GA7086365OtherAETNA
GA294424OtherWELLCARE