Provider Demographics
NPI:1720262090
Name:BERMAN, ALAN (D C)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:BERMAN
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 W ANDERSON LN STE 204
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1153
Mailing Address - Country:US
Mailing Address - Phone:512-467-0370
Mailing Address - Fax:
Practice Address - Street 1:2700 W ANDERSON LN STE 204
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1153
Practice Address - Country:US
Practice Address - Phone:512-467-0370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor