DR. JAMES EDWARD BERMAN (NPI# 1821047283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821047283 |
| Entity Type | Individual |
| Full Name | DR. JAMES EDWARD BERMAN |
| Credential | M.D. |
| Practice Address |
7040 N Port Washington Rd Suite 404 Glendale WI 53217-3885 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 4143552405 |
| Practice Fax Number | 4143556460 |
| Mailing Telephone | 9206835278 |
| Mailing Fax Number | 9206869674 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 27925 | WI | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
27925 | WI | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
27925 | WI | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
27925 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | TAX ID# | 391130058 | 01 |
| WI | 31392100 | 05 | |
| WI | CLIA | 52DO946226 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 E Silver Spring Dr Ste 202, Whitefish Bay, WI 532174762 | 4149649030 | 4149649620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598937245 | James Craig Berman | Internal Medicine | 261 Standish Rd, Merion Station, PA 19066-1133 | 2008-04-01 |
| 1164553624 | James M Berman | Counselor | 8555 Taft St, Merrillville, IN 46410-6123 | 2007-03-08 |
| 1376583229 | James Berman | Family Medicine | 361 Hospital Rd, 322, Newport Beach, CA 92663-3522 | 2006-06-08 |
| 1407820731 | James Berman | Pediatrics | 2160 S First Ave, (17w740 22nd Street, Oakbrook Terrace, Il. 60181), Maywood, IL 60153 | 2006-02-14 |
| Street Address |
7040 N PORT WASHINGTON RD SUITE 404 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-3885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245506971 | Forefront Dermatology, S.c. | Dermatology | 7040 N Port Washington Rd, Suite 404, Glendale, WI 53217 | 2012-03-27 |
| 1891068599 | Petrou-haefs Eyecare, LLC | Clinic/Center | 7040 N Port Washington Rd, Suite 420, Glendale, WI 53217-3885 | 2012-02-12 |
| 1114183126 | Liberty Ann Boucher | Dentist | 7040 N Port Washington Rd, Glendale, WI 53217-3838 | 2008-07-30 |
| 1427234723 | Joseph L Gaffney | Dentist | 7040 N Port Washington Rd, Glendale, WI 53217-3838 | 2008-01-16 |
| 1972710077 | Daniel C Ross | Student in an Organized Health Care Education/Training Program | 7040 N Port Washington Rd, Glendale, WI 53217-3838 | 2007-05-17 |
| 1265562631 | Wisconsin Dental Group,s.c. | Dentist | 7040 N Port Washington Rd, Glendale, WI 53217-3838 | 2007-03-06 |
| 1003946252 | Wisconsin Dental Group, S.c. | Dentist | 7040 N Port Washington Rd, Glendale, WI 53217-3838 | 2007-03-06 |
| 1346380979 | James Lipinski | Dentist | 7040 N Port Washington Rd, Ste 414, Glendale, WI 53217-3838 | 2007-02-06 |
| 1508936154 | Northeast Obgyn Sc | Obstetrics & Gynecology | 7040 N Port Washington Rd, Suite 400, Glendale, WI 53217-3838 | 2006-11-09 |
| 1942380522 | Stephanie Ann Murphy | Dentist | 7040 N Port Washington Rd, 410, Glendale, WI 53217-3838 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1801103114 | Oshin Bojalian, M.d. A Medical Corporation | Dermatology | 633 N Central Ave Ste 310, Glendale, CA 91203-1821 | 2010-09-08 |
| 1417279068 | Ryan A. Stevens | Dermatology | 18699 N 67th Ave Ste 220, Glendale, AZ 85308 | 2010-02-24 |
| 1164570180 | Justine Hyoju Park | Dermatology | 435 Arden Ave Ste 435, Glendale, CA 91203-4044 | 2007-01-08 |
| 1558457143 | Han N Lee | Dermatology | 435 W Arden Ave, #435, Glendale, CA 91203-4044 | 2006-10-04 |
| 1811095342 | Carmen S Balding | Dermatology | 375 W. River Woods Prkwy, Glendale, WI 53212 | 2006-09-20 |
| 1356454557 | Donny Mehrabi | Dermatology | 1505 Wilson Ter Ste 240, Glendale, CA 91206-4033 | 2006-08-15 |
| 1275506081 | Thorsteinn Skulason | Dermatology | 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 | 2006-02-10 |
| 1104810720 | James Frederick Pehoushek | Dermatology | 6320-a W Union Hills Dr., Ste 100, Glendale, AZ 85308-1051 | 2005-09-09 |
| 1407363971 | Pure Dermatology Pllc | Dermatology | 501 S Cherry St Ste 310, Glendale, CO 80246-1325 | 2018-01-05 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.