Individual
BERNARD E. RERRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
938 ML KING DR., CENTRAILIA, IL 62801
(618) 918-2262
(618) 918-3623
Mailing address
938 M L KING DR, CENTRALIA, IL 62801-3058
(618) 918-2262
(618) 918-3623
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036128561
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
036128561
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036128561
IDHFS
IL
01
—
042629461
UNICARE/GIC
MA
05
—
2111942
—
MA
01
—
223063
CONNECTICARE
MA
01
—
36994
HEALTH NEW ENGLAND
MA
01
—
3943917
AETNA
MA
01
—
486865
TUFTS
MA
01
—
9035874
CIGNA
MA
01
—
985880
MEDICARE PTAN
IL
01
—
J28584
BCBSMA
MA
Enumeration date
12/01/2005
Last updated
10/10/2022
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