Provider Demographics
NPI:1932217411
Name:BEHRMAN, MICHAEL JAMESON (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JAMESON
Last Name:BEHRMAN
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 1:2323 DELAVINA
Mailing Address - Street 2:STE 201
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105
Mailing Address - Country:US
Mailing Address - Phone:805-682-2267
Mailing Address - Fax:805-563-0970
Practice Address - Street 1:2323 DELAVINA
Practice Address - Street 2:STE 201
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105
Practice Address - Country:US
Practice Address - Phone:805-682-2267
Practice Address - Fax:805-563-0970
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71132207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G711320Medicaid
CAG71132Medicare ID - Type Unspecified
E85158Medicare UPIN