Provider Demographics
NPI:1013204668
Name:BERMAN, DAVID (CRNP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:BERMAN
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8209 STEVENSON RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1832
Mailing Address - Country:US
Mailing Address - Phone:410-365-8714
Mailing Address - Fax:
Practice Address - Street 1:8209 STEVENSON RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-1832
Practice Address - Country:US
Practice Address - Phone:410-365-8714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR126842363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD00489152OtherSTATE OF MD CDS
MB2376538OtherDEA
MD219541ZC58Medicare UPIN