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
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Mailing Address - Street 1:1001 CROMWELL BRIDGE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3330
Mailing Address - Country:US
Mailing Address - Phone:410-469-4000
Mailing Address - Fax:410-469-4434
Practice Address - Street 1:1838 GREENE TREE RD
Practice Address - Street 2:SUIOTE 535
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-6391
Practice Address - Country:US
Practice Address - Phone:410-469-4000
Practice Address - Fax:410-653-1296
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2023-03-07
Deactivation Date:
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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