Individual provider Active NPI

Justin Joseph Berlin, D.C.

  • Chiropractor
  • Troy, MI
National Provider Identifier
1487660395
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009162 Issued in MI
Practice address
5909 John R Rd
Troy, MI 48085-3867
Phone
(248) 879-5540
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009162 MI Primary

Addresses

Primary practice location

5909 John R Rd
Troy, MI 48085-3867

Mailing address

7700 Sylvan St
Shelby Township, MI 48317-4368
Phone (248) 835-5727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070116000463 MI Practitioner - Chiropractic 0244231371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Justin J Berlin DC PLCGroup PAC ID 2466985742, 3 clinicians

Practice addresses (Care Compare)

1136 S Rochester Rd
Suite B
Rochester Hills, MI 48307-3117
Phone (248) 963-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009162MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Justin J Berlin DC PLC Chiropractor CurrentSince Jan 8, 2007 Accepting new patients

Locations

1136 S Rochester Rd
Ste B
Rochester Hills, MI 48307
Phone (248) 963-8181

5909 John R Rd
Troy, MI 48085
Phone (248) 330-0457

5909 John R Rd
#C
Troy, MI 48085
Phone (248) 879-5540

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487660395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 SYLVAN ST",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483174368",
            "telephone_number": "248-835-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853867",
            "telephone_number": "248-879-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "JUSTIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.