Alan R. Berlin, D.O.P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101006346 Issued in MI

Legal business name

ALAN R. BERLIN, D.O.P.C.

Practice address

1079 Professional Dr
Flint, MI 48532-3636

Phone

(810) 732-3330

Fax

(810) 732-2590

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alan Robbin Berlin, D.O.NPI 1689759839

Title

President

Phone

(810) 732-3330

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan R Berlin, DO

  • Dermatology Physician
  • Flint, MI
  • NPI 1689759839
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1255511820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 PROFESSIONAL DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323636",
            "telephone_number": "810-732-3330",
            "fax_number": "810-732-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 PROFESSIONAL DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323636",
            "telephone_number": "810-732-3330",
            "fax_number": "810-732-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN R. BERLIN, D.O.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "ROBBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-732-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101006346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN",
            "identifier": "0736595",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0752511084",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1088200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0752511084",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiran Melanus Alagacone, MD
• Abdel M Alajaj, M.D
• Adnan Ismail Alamdi Sr., DDS
• Danish Alamy, M.D.
• Alan P Goldberg MD PC
• Andrew Alanis
• Marcelina Alaniz
• John Alappatt
• Peggy S. Alarie-Anderson, PAC
• Nancy Lynn Albee, M.A. AUDIOLOGY

• Dermatology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.