# DR. DAVID EDWARD BEREDA

> 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:** Yes

## Provider details

- **NPI number:** 1639319387
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036149289 | IL | — |
| 207Q00000X | Family Medicine Physician | 2022045941 | MO | Yes |
| 207Q00000X | Family Medicine Physician | 828 | NE | — |

## Other

- **Enumeration date:** 02/20/2009
- **Last updated:** 02/02/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2022045941 | FAMILY MEDICINE | MO |