Bernard J Imrich, M.D.

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

MD026109E Issued in PA

Practice address

110 S Pine St
Carmichaels, PA 15320-1264

Phone

(724) 966-5019

Fax

(724) 966-8952

NPI assigned

Jul 20, 2006

Last updated

Feb 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bernard John Imrich Professional name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1124048533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PINE ST",
            "city": "CARMICHAELS",
            "state": "PA",
            "postal_code": "153201264",
            "telephone_number": "724-966-5019",
            "fax_number": "724-966-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PINE ST",
            "city": "CARMICHAELS",
            "state": "PA",
            "postal_code": "153201264",
            "telephone_number": "724-966-5019",
            "fax_number": "724-966-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMRICH",
        "first_name": "BERNARD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "PA",
            "license": "MD026109E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNARD",
            "last_name": "IMRICH",
            "middle_name": "JOHN",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christi Lynn Gross, B.A.
• Beth Ann Hagyari
• Kevin Jay Hansen Jr.
• Heather J. Hertig, B.A.
• Andrew Charles Hickman, M.S., CF-SLP
• Jacqueline Jackson
• Emily A Janoski
• Keli Ann Reams (Keli A REAMS)
• Christopher L Kelley, B.A.
• Valerie Ann Kerr-Lapana

• Adolescent Medicine (Internal Medicine) Physician in Carmichaels, PA
• Providers in Carmichaels, PA by specialty
• Adolescent Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.