Active NPI
Robert B Berkowitz, MD
- Allergy & Immunology Physician
- Canton, GA
National Provider Identifier
1346280237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 024652
- Practice address
- 100 Old Ballground Hwy
Ste B
Canton, GA 30114 - Phone
- (770) 952-8612
- Fax
- (770) 485-3717
- NPI assigned
- Jun 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 024652 | GA | Primary |
Addresses
Primary practice location
100 Old Ballground Hwy
Ste B
Canton, GA 30114
Mailing address
1965 North Park PL NW
Atlanta, GA 30339
Phone (770) 952-8612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Allergy & Asthma Clinic PA | Allergy & Immunology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJBFBA
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Atlanta, GA
- NPI 1598796195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346280237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 NORTH PARK PL NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30339",
"telephone_number": "770-952-8612",
"fax_number": "770-618-8075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OLD BALLGROUND HWY",
"address_2": "STE B",
"city": "CANTON",
"state": "GA",
"postal_code": "30114",
"telephone_number": "770-952-8612",
"fax_number": "770-485-3717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKOWITZ",
"first_name": "ROBERT",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "GA",
"license": "024652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.