Joel Edward Berenson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

016020 Issued in GA

Practice address

702 Canton Road
Marietta, GA 30060

Phone

(770) 428-4486

Fax

(770) 425-6008

NPI assigned

Aug 15, 2007

Last updated

Aug 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diagnostic Imaging Specialists PA

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1366424947
  NPD (past)
• Genesis Women's Diagnostic Center

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1548290372
  NPD (past)
• Kennestone Hospital, Inc

  dba Wellstar Kennestone Hospital Inpatient Psych Unit

  • Psychiatric Hospital Unit
  • Atlanta, GA
  • NPI 1689361438
  NPD (past)
• The Philip Israel Breast Center, P.C.

  • Surgery Physician
  • Marietta, GA
  • NPI 1942310917
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1073705893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CANTON ROAD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-428-4486",
            "fax_number": "770-425-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CANTON ROAD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-428-4486",
            "fax_number": "770-425-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENSON",
        "first_name": "JOEL",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "016020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Bennett, MACCC-SLP
• Alivia Benson, OTR/L
• Ellen Mary Benson, MSN, APRN, BC
• Andrew Michael Benton, DPT, PT
• Allison Michelle Berard, PA-C
• Gabriela Bergamin, RBT
• Ulf Agustin Berge, D.D.S.
• Berger Psychological Services, P.C.
• Julie K Berger
• Steven Gary Berger, PH.D.

• Diagnostic Radiology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.