Basic Information
| Provider Information | |||||||||
| NPI: | 1003004391 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WALKER | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | BERMAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10625 CALHOUN RD | ||||||||
| Address2: | PO BOX 12034 | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681121324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024571300 | ||||||||
| FaxNumber: | 4024571403 | ||||||||
| Practice Location | |||||||||
| Address1: | 10625 CALHOUN RD | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681121324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024571300 | ||||||||
| FaxNumber: | 4024571403 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2007 | ||||||||
| LastUpdateDate: | 10/11/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 20478 | NE | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.