Stephen J Gershberg, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-023427L Issued in PA

Practice address

14 S Bryn Mawr Ave
Suite #200
Bryn Mawr, PA 19010-3216

Phone

(610) 527-6700

Fax

(610) 527-6704

NPI assigned

Sep 8, 2010

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andrew L. Lieberman DMD LLC

  • Dental Clinic/Center
  • Bryn Mawr, PA
  • NPI 1386213494
  NPD (past)

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1639486913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S BRYN MAWR AVE",
            "address_2": "SUITE #200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103216",
            "telephone_number": "610-527-6700",
            "fax_number": "610-527-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S BRYN MAWR AVE",
            "address_2": "SUITE #200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103216",
            "telephone_number": "610-527-6700",
            "fax_number": "610-527-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHBERG",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-023427L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Louis Plitt Gellert, PSYD
• Genoa Healthcare LLC
• Winson Tholoor George, PHD, D.O
• Sharon Gera, LCSW
• Colleen Gerg, RDN
• Leroy T Gerson, MD
• Jay Ghadiali, M.D.
• Dora Ghetie, PSY.D.
• Philip C Giarraputo, D.M.D.
• John Ace Gibson, DMD

• General Practice Dentistry in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.