Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Berman, MD

Individual provider Diagnostic Radiology Physician · NPI 1417977786

Jack Berman, MD is a Diagnostic Radiology in Santa Monica, California. Graduated from University of Michigan Medical School in 1968, 58 years ago. Practices with Beverly Radiology Medical Group III, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
58
Trained at
University of Michigan Medical School
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2428 Santa Monica Blvd
Santa Monica, CA 90404-2045
Phone: (310) 315-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1516 Cotner Ave, Los Angeles, CA 90025-3303 — (310) 445-2951

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence C33328 (CA)

Record details

NPI number1417977786
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1968 (58 years in practice)
Group practice Beverly Radiology Medical Group Iii — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations20 on file with Medicare

Other providers in Santa Monica