Bernard J Imrich, M.D.
Individual provider Active NPI Adolescent Medicine (Internal Medicine) Physician · Carmichaels, PA
NPI 1124048533 · NPPES record last updated Feb 25, 2008
Key facts
- NPI
- 1124048533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician 207RA0000X
- License
- MD026109E (PA)
- Practice address
- 110 S Pine St
Carmichaels, PA 15320-1264 - Phone
- (724) 966-5019
- Fax
- (724) 966-8952
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081111000233 | PA | Practitioner - Internal Medicine | 0345309951 | Practice locations: Carmichaels, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | MD026109E | PA | Yes |
Addresses
Primary practice location
110 S Pine St
Carmichaels, PA 15320-1264
Mailing address
110 S Pine St
Carmichaels, PA 15320-1264
Phone (724) 966-5019
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P035823 | Other | PA | CHAMPUS |
| 110138 | Other | PA | BLACK LUNG |
Other names
- Bernard John Imrich
Other providers in Carmichaels, PA
- Christi Lynn Gross
- Beth Ann Hagyari
- Kevin Jay Hansen Jr.
- Heather J. Hertig
- Andrew Charles Hickman
- Jacqueline Jackson
- Emily A Janoski
- Keli Ann Reams
- Christopher L Kelley
- Valerie Ann Kerr-Lapana
All providers in Carmichaels, PA · Adolescent Medicine (Internal Medicine) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.