Kenneth Alan Berlin, M.D.
Individual provider Active NPI Pediatrics Physician · Raynham, MA
NPI 1487622007 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1487622007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 52899 (MA)
- Practice address
- 876 Broadway
Raynham, MA 02767-1797 - Phone
- (508) 824-9500
- Fax
- (508) 824-9507
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52899 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raynham Taunton Pediatrics | Pediatrics | Past | Accepting new patients |
| Tristan Medical Enterprises PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 52899 | MA | Yes |
Addresses
Primary practice location
876 Broadway
Raynham, MA 02767-1797
Mailing address
876 Broadway
Raynham, MA 02767-1797
Phone (508) 824-9500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6182747 | Medicaid | MA |
Other providers in Raynham, MA
- Ruth Barnert
- Bryce A Basques
- Kathleen Baxter
- Behavioral Psychiatric & Psychological Associates, P.C.
- Gregg A Belle
- Lorrie Bertrand
- Brendan Paul Berube
- Darlene Marie Bettencourt
- Michaela Kate Bileau
- Alexandra Lee Birnie
All providers in Raynham, MA · Pediatrics Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.