MEDICARE: DR. PETER BRUCE SHERER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D21910	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0549052	OTHER		CIGNA
2	42089001	OTHER	MD	BCBS MD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0001	OTHER	DC	BCBS DC
5	521230579	OTHER		HEALTHLINK
6	0402086	OTHER		UNITED HEALTHCARE
7	4053731	OTHER		AETNA
8	922531	OTHER		HEALTHKEEPERS

General Provider Information

NPI Number	:	1316950066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER BRUCE SHERER MD

Provider Business Mailing Address
First Line	:	3921 FERRARA DR
Second Line	:
City	:	WHEATON
State	:	MD
Zip	:	20906-4709
Country	:	US
Telephone Number	:	301-946-6420
Fax Number	:	301-946-0642

Provider Business Practice Location Address
First Line	:	3921 FERRARA DR
Second Line	:
City	:	WHEATON
State	:	MD
Zip	:	20906-4709
Country	:	US
Telephone Number	:	301-946-6420
Fax Number	:	301-946-0642

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	06/18/2008

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Directions to “ DR. PETER BRUCE SHERER MD” Practice Location

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