Individual
KEVIN M BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6036 N 19TH AVE STE 510, PHOENIX, AZ 85015-2143
(602) 973-1113
(602) 973-1116
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3838
(602) 633-3845
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
28977
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060063387
RAILROAD MEDICARE
AZ
01
—
1Z5674
HEALTHNET
AZ
01
—
25-00625
UNITED HEALTHCARE
AZ
05
—
550211
—
AZ
01
—
AZ0881510
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/29/2005
Last updated
05/11/2020
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