Individual
MATTHEW BERCHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
P0957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934598
—
AL
05
—
009941273
—
AL
01
—
051531430
BLUE CROSS OF ALABAMA
AL
01
—
051531832
BLUE CROSS OF ALABAMA
AL
05
—
3125627-02
—
TX
Enumeration date
05/17/2006
Last updated
06/25/2013
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