# JEFFERY THOMAS BERDAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629276308
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2006017911 | MO | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 7651257-1204 | UT | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | OP60570179 | WA | Yes |

## Other

- **Enumeration date:** 07/05/2007
- **Last updated:** 07/28/2015