Organization Active NPI

Alan Joseph Berlin, M.D.

  • Specialist
  • Montgomery, AL
National Provider Identifier
1548396989
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10816 Issued in AL
Legal business name
ALAN JOSEPH BERLIN, M.D.
Practice address
214 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone
(334) 244-7874
Fax
(334) 274-0174
NPI assigned
Feb 27, 2007
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Alan Joseph Berlin, MDNPI 1316043037
Title
President
Phone
(334) 244-7874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10816 AL Primary

Addresses

Primary practice location

214 Mitylene Park Dr
Montgomery, AL 36117-3548

Mailing address

214 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone (334) 244-7874

Other identifiers 1

IdentifierTypeStateIssuer
000011621MedicaidAL

National Provider Directory

National Provider Directory

Locations

214 Mitylene Park Dr
Montgomery, AL 36117
Phone (334) 244-7874

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1548396989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MITYLENE PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173548",
            "telephone_number": "334-244-7874",
            "fax_number": "334-274-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MITYLENE PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173548",
            "telephone_number": "334-244-7874",
            "fax_number": "334-274-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN JOSEPH BERLIN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-244-7874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "10816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000011621",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.