Provider Demographics
NPI:1316961642
Name:BERMAN, DAVID (MS, PT, COMT, CSCS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MS, PT, COMT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16879
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80402-6014
Mailing Address - Country:US
Mailing Address - Phone:720-222-9669
Mailing Address - Fax:866-543-7981
Practice Address - Street 1:8850 W 58TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2252
Practice Address - Country:US
Practice Address - Phone:303-431-5060
Practice Address - Fax:866-543-7981
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6977225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC448748Medicare UPIN