Bernardo A Merizalde, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD039662L Issued in PA

Practice address

600 Germantown Pike
Suite a
Lafayette Hill, PA 19444-1800

Phone

(610) 238-9963

Fax

(610) 238-0460

NPI assigned

Dec 5, 2006

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 28, 1999 through Apr 28, 2027

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.

• Jefferson Medical Care, PC

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1164511747

  Family Medicine

  NPD (past)
• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972661569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GERMANTOWN PIKE",
            "address_2": "SUITE A",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441800",
            "telephone_number": "610-238-9963",
            "fax_number": "610-238-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GERMANTOWN PIKE",
            "address_2": "SUITE A",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441800",
            "telephone_number": "610-238-9963",
            "fax_number": "610-238-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIZALDE",
        "first_name": "BERNARDO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039662L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merakey Parkside Recovery
• Merakey Parkside Recovery
• Merakey Total Health
• Merakey Woodhaven
• Merakey Woodhaven
• Elizabeth Michel
• Dolores M Mihalich, PH.D
• Minds First Psychiatry LLC
• Aaron Michael Mittica, L.AC, DIPL.
• Beth Susan Mittica, DC

• Family Medicine Physician in Lafayette Hill, PA
• Providers in Lafayette Hill, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.