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MAXWELL AUSTIN BERMAN MD
NPI 1205763976
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 06, 2026PECOS Enrolled
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107(215) 955-2370(215) 955-0677 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxwell Austin Berman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXWELL AUSTIN BERMAN MD (NPI 1205763976) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205763976
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAXWELL AUSTIN BERMANCredential: MD
Location Address111 S 11TH ST STE 8290Philadelphia, PA 19107-4870
Mailing Address111 S 11th St Ste 8290Philadelphia, PA 19107-4870 · (215) 955-2370 · Fax (215) 955-0677
Phone(215) 955-2370
Fax(215) 955-0677
Sole ProprietorYes
Enumeration DateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1205763976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 S 11TH ST STE 8290, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxwell Austin Berman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA TAN MD, PHD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
MICHAEL ROBERT SISKO MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
SEAN WASHEK
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
DR. NUPUR RAJEEV HEGDE DO
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
ANGELA YANG MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
KHANH BUI
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
DAVID SWEENEY RUBIN DO
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
STUTI TANK MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxwell Berman's NPI number?

The NPI number for Maxwell Berman is 1205763976. It was assigned to this individual provider in the NPPES registry on May 6, 2026.

Where is Maxwell Berman located?

Maxwell Berman practices at 111 S 11th St Ste 8290, Philadelphia, PA 19107. The listed phone number is (215) 955-2370.

What is Maxwell Berman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maxwell Berman enrolled in Medicare?

Yes. Maxwell Berman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maxwell Berman was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.