Provider Demographics
NPI:1730273236
Name:BERMAN, ARTHUR L (DO, FAAIM)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:L
Last Name:BERMAN
Suffix:
Gender:M
Credentials:DO, FAAIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8250 BRYAN DAIRY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777
Mailing Address - Country:US
Mailing Address - Phone:727-544-1600
Mailing Address - Fax:727-545-2555
Practice Address - Street 1:8250 BRYAN DAIRY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777
Practice Address - Country:US
Practice Address - Phone:727-544-1600
Practice Address - Fax:727-545-2555
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS5007207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82830OtherBCBS
FL043320900Medicaid
FL100001223Medicare PIN
FLE14531Medicare UPIN
FL82830BMedicare PIN