DR. KENNETH GERSHENGORN M.D.
NPI 1194766634
Internal Medicine - Cardiovascular Disease in Brookline, MA

Q: What is Kenneth Gershengorn's NPI number?

The NPI number for Kenneth Gershengorn is 1194766634. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Kenneth Gershengorn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since June 08, 2006

1101 BEACON ST., BROOKLINE, MA 02446(617) 738-1961(617) 734-2348 Get Directions Write a Review

NPPES record last updated: November 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth Gershengorn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH GERSHENGORN M.D. (NPI 1194766634) is an individual cardiovascular disease provider in Brookline, Massachusetts, licensed in Massachusetts (33105) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1194766634

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. KENNETH GERSHENGORNCredential: M.D.

Location Address1101 BEACON ST.Brookline, MA 02446-5587

Mailing Address1101 Beacon St.Brookline, MA 02446-5587 · (617) 738-1961 · Fax (617) 734-2348

Phone(617) 738-1961

Fax(617) 734-2348

Sole ProprietorNo

Enumeration DateJune 8, 2006

Last NPPES UpdateNovember 6, 2008

✔ NPI 1194766634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MA · 33105

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1101 BEACON ST., Brookline, MA 02446

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Other Identifiers 3

Medicare ID-Type UnspecifiedM11041

Medicaid2027208MA

Medicare UPINA66035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Gershengorn's NPI number?

The NPI number for Kenneth Gershengorn is 1194766634. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Kenneth Gershengorn located?

Kenneth Gershengorn practices at 1101 Beacon St., Brookline, MA 02446. The listed phone number is (617) 738-1961.

What is Kenneth Gershengorn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Kenneth Gershengorn was last updated on November 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.