Provider Demographics
NPI:1386674307
Name:BERKS MEDICAL CENTER, P.C.
Entity type:Organization
Organization Name:BERKS MEDICAL CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHEUERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-203-0600
Mailing Address - Street 1:700 E GIRARD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-3411
Mailing Address - Country:US
Mailing Address - Phone:215-203-0600
Mailing Address - Fax:215-203-9402
Practice Address - Street 1:700 E GIRARD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-3411
Practice Address - Country:US
Practice Address - Phone:215-203-0600
Practice Address - Fax:215-203-9402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039412L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2Y1415OtherPHS
PA1036574OtherKEYSTONE MERCY
PA780113OtherHIGHMARK
PAP380692OtherOXFORD
PA0804534001OtherKEYSTONE/AMERIHEALTH
PA780113OtherHIGHMARK