Bern, Merritt Jonathan
Bern, Merritt Jonathan is an individual health care provider with primary practice located at 3 Riverside Cir Carilion Clinic Gastroenterolgy Riverside 3, Roanoke VA 24016-4955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bern, Merritt Jonathan can be contacted via phone (540) 224-5170.Contact Information
Primary practice address
3 Riverside Cir Carilion Clinic Gastroenterolgy Riverside 3
Roanoke VA 24016-4955
Phone: (540) 224-5170
Fax: (540) 985-9418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0101040654 | Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01080690A | Indiana |
Profile Details
| NPI number | 1720066483 |
|---|---|
| LBN Legal business name | Bern, Merritt Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Dec 4th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720066483 | NPPES |
| Virginia | Other | VVA900A | MEDICARE PTAN |
| Virginia | Other | 100009137 | MEDICARE PTAN |
| Virginia | MEDICAID | 006097839 | MEDICARE PTAN |
| Virginia | Other | 260856 | MEDICARE PTAN |
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