NPIMap

Organization Active NPI

Fred S. Berlin, M.D., PH.D., P.a.

  • Specialist
  • Baltimore, MD
National Provider Identifier
1922430727
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D18703 Issued in MD
Legal business name
FRED S. BERLIN, M.D., PH.D., P.A.
Practice address
104 E Biddle St
Baltimore, MD 21202-2755
Phone
(410) 539-1661
Fax
(410) 539-1664
NPI assigned
Aug 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Fred S. Berlin, M.D., PH.D.
Title
Director
Phone
(410) 539-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D18703 MD Primary

Addresses

Primary practice location

104 E Biddle St
Baltimore, MD 21202-2755

Mailing address

104 E Biddle St
Baltimore, MD 21202-2755
Phone (410) 539-1661

National Provider Directory

National Provider Directory

Locations

104 E Biddle St
Baltimore, MD 21202
Phone (410) 539-1661

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1922430727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E BIDDLE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022755",
            "telephone_number": "410-539-1661",
            "fax_number": "410-539-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E BIDDLE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022755",
            "telephone_number": "410-539-1661",
            "fax_number": "410-539-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED S. BERLIN, M.D., PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-539-1661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D18703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.