Healthcare Provider Details

I. General information

NPI: 1265470140
Provider Name (Legal Business Name): GERALD BERTIGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 BARRETT BLVD STE 200
EPHRATA PA
17522-8979
US

IV. Provider business mailing address

75 HOSPITAL DR STE 310
ATHENS OH
45701-2860
US

V. Phone/Fax

Practice location:
  • Phone: 717-738-5648
  • Fax: 717-327-4014
Mailing address:
  • Phone: 740-594-6100
  • Fax: 740-594-6903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101032217
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number29713
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number01082717A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number84527
License Number StateSC
# 5
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number0101032217
License Number StateVA
# 6
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD027161E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: