Anthony Berardo

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATL3793 Issued in MA

Practice address

285 Babcock St
Boston, MA 02215-1003

Phone

(617) 353-2746

Fax

(617) 353-7579

NPI assigned

Mar 24, 2021

Last updated

Mar 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1134706500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGH ACRE DR",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123900",
            "telephone_number": "203-942-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BABCOCK ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151003",
            "telephone_number": "617-353-2746",
            "fax_number": "617-353-7579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 High Acre Dr",
            "address_purpose": "LOCATION",
            "city": "New Fairfield",
            "state": "CT",
            "postal_code": "068123900",
            "country_code": "US",
            "telephone_number": "203-942-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERARDO",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CT",
            "license": "70.023365",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MA",
            "license": "E932543",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "ATL3793",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "54.001823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Snehal Berajawala, PAC
• Tamiru Bonsa Berake, MD
• Elisabeth Beran, M.D.
• Kelly Ann Berard, RN
• Krista Lee Berardi
• Nelsie Esther Berberena
• Santia Berberena, PSYD
• Christopher Michael Berberian, RN
• Caroline M Berchuck, MD
• Charles B Berde, MD, PHD

• Athletic Trainer in Boston, MA
• Providers in Boston, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.