SCOTT BERMAN MD NPI 1093707572

NPI Information

NPI: 1093707572
Provider Name: SCOTT BERMAN, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
PECOS Registration: Yes
CLIA Number: 33D2042476
Address: 2500 NESCONSET HWY
BUILDING 12 SUITE 45
STONY BROOK, NY
ZIP 11790
Phone: (631) 675-9010

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NPI Details

Scott Berman, MD is an obstetrics gynecology in Stony Brook, NY with 28 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Scott Berman, MD NPI is 1093707572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2500 NESCONSET HWY
BUILDING 12 SUITE 45
STONY BROOK, NY
ZIP 11790-555
Phone: (631) 675-9010
Fax: (631) 675-9009

The NPI 1093707572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 33D2042476 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)

The enumeration date for this NPI number is 8/19/2005 and was last updated on 5/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	224865	NEW YORK	No
2	207VX0000X	Obstetrics & Gynecology	Obstetrics	224865	NEW YORK	No
3	207V00000X	Obstetrics & Gynecology		224865	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	H79348	MEDICARE UPIN
2	611E11	MEDICARE PIN	NEW YORK
3	02359644	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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