ROGER L BERKOW MD NPI 1528055753

NPI Information

NPI: 1528055753
Provider Name: ROGER L BERKOW, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
35 JESSE HILL JR DR SE
ATLANTA, GA
ZIP 30303
Phone: (404) 785-9850
Get Directions

Roger L Berkow, MD is a pediatric hematology-oncology pediatrics in Atlanta, GA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Roger L Berkow, MD NPI is 1528055753. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

35 JESSE HILL JR DR SE
ATLANTA, GA
ZIP 30303-032
Phone: (404) 785-9850

The NPI 1528055753 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 1/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		MD.11429	ALABAMA	No
2	208000000X	Pediatrics		MD.11429	ALABAMA	No
3	208000000X	Pediatrics		ME117016	FLORIDA	No
4	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	86596	GEORGIA	Yes
5	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	ME117016	FLORIDA	No
6	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	MD.11429	ALABAMA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5656157	OTHER	ALABAMA	AETNA
2	009928300	MEDICAID	ALABAMA
3	510-95530	OTHER	ALABAMA	BCBS
4	1528055753	OTHER	ALABAMA	TRICARE SOUTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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