Individual provider Active NPI

Robert S Berger, M.D.

  • Dermatology Physician
  • White Plains, MD
National Provider Identifier
1659374460
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D30976 Issued in MD
Practice address
4225 Altamont PL
Unit # / 3Rd Floor
White Plains, MD 20695-3063
Phone
(301) 843-1600
Fax
(301) 645-4734
NPI assigned
May 24, 2005
Last updated
Dec 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D30976 MD Primary

Addresses

Primary practice location

4225 Altamont PL
Unit # / 3Rd Floor
White Plains, MD 20695-3063

Mailing address

4225 Altamont PL
Unit # / 3Rd Floor
White Plains, MD 20695-3063
Phone (301) 843-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070606000192 MD Practitioner - Dermatology 2466470372 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Mar 1, 1994 Accepting new patients
Johns Hopkins University Dermatology CurrentSince Mar 1, 1994 Accepting new patients
Johns Hopkins University Current Accepting new patients
Charles County Surgical Center, L.L.C. PastSince Oct 6, 2008 Accepting new patients

Locations

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

Organizations & group practices 5

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1659374460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 ALTAMONT PL",
            "address_2": "UNIT # / 3RD FLOOR",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953063",
            "telephone_number": "301-843-1600",
            "fax_number": "301-645-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 ALTAMONT PL",
            "address_2": "UNIT # / 3RD FLOOR",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953063",
            "telephone_number": "301-843-1600",
            "fax_number": "301-645-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D30976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.