Individual
DR. DONALD EUGENE BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 299-7295
(718) 299-6797
Mailing address
1434 WILLIAMSBRIDGE RD FL 2, BRONX, NY 10461-2507
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
146081
NY
207R00000X
Internal Medicine Physician
Primary
146081
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01065782A
IN
207RP1001X
Pulmonary Disease Physician
01065782A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000937577
ANTHEM PROVIDER NUMBER
IN
01
—
117056
MVP HEALTHCARE
NY
05
—
200986160
—
IN
01
—
217019
MVP HEALTHCARE
NY
01
—
26-3086555
REID PHYSICIAN ASSOCIATES, INC.
IN
01
—
58A88
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
07/25/2006
Last updated
02/04/2020
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