Individual
JEFFREY JOSEPH BERAN
Active
Individual
JEFFREY JOSEPH BERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7398
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669520235
NIP
AZ
01
—
2Z8898
HEALTH NET NUMBER
AZ
01
—
454198977
TAX ID
AZ
01
—
610640800
GROUP OWCP NUMBER
AZ
01
—
AZ0461720
GROUP NUMBER
AZ
Enumeration date
01/08/2007
Last updated
09/12/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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