Individual
MERRITT JONATHAN BERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RIVERSIDE CIR, CARILION CLINIC GASTROENTEROLGY RIVERSIDE 3, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 985-9418
Mailing address
3 RIVERSIDE CIR, CARILION CLINIC GASTROENTEROLGY RIVERSIDE 3, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 985-9418
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101040654
VA
207RG0100X
Gastroenterology Physician
Primary
01080690A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006097839
—
VA
01
—
100009137
MC RAIL ROAD
—
01
—
260856
ANTHEM
—
01
—
VVA900A
MEDICARE PTAN
VA
Enumeration date
01/04/2006
Last updated
12/04/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us