Individual
BRIAN W BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CHILDREN HOSP MICHIGAN, 3901 BEAUBIEN ST, DETROIT, MI 48201
(216) 789-3470
(313) 966-6121
Mailing address
680 HANNA ST, BIRMINGHAM, MI 48009-1618
(216) 789-3470
(313) 966-6121
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301101829
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043232523
—
MI
01
—
700F349850
BCBSM COMMON PIN
MI
Enumeration date
07/24/2006
Last updated
02/04/2021
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