Allen C. Bernthal, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036054138 Issued in IL

Practice address

6827 Stanley Ave
Berwyn, IL 60402-3287

Phone

(708) 749-4617

Fax

(708) 749-0094

NPI assigned

Jan 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Gi and Liver Specialists, LTD

  • Specialist
  • Berwyn, IL
  • NPI 1750436051
  NPD (past) Authorized official

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1710967989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6827 STANLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023287",
            "telephone_number": "708-749-4617",
            "fax_number": "708-749-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 STANLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023287",
            "telephone_number": "708-749-4617",
            "fax_number": "708-749-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNTHAL",
        "first_name": "ALLEN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-22",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036054138",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036054138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054138",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meron Yafet Berhane
• Michael H Berkson, MD
• Ricardo Bernales, MD
• Rachel Jean Bernardo, DO
• Sheila Anne Berndt, M.D.
• John Berry, MD
• Berwyn Dental Clinic
• Berwyn Dental Group
• Berwyn Dental Inc.
• Berwyn Diagnostic Imaging LLC

• Gastroenterology Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.