MEDICARE: BERNARD H CARLIN 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	MD028151E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00178952/DC5012	OTHER	PA	RRM
2	0597566	OTHER	PA	CIGNA HMO/PPO
3	0019403	OTHER	PA	AETNA HMO
4	0410589000	OTHER	PA	AMERIHEALTH/INTERCOUNTY
5	588631	OTHER	PA	HIGHMARK BLUE SHIELD
6	4203809	OTHER	PA	AETNA PPO
7	1027759	OTHER	PA	KEYSTONE MERCY
8	10924178	OTHER	PA	CAQH ID#
9	0160582801	OTHER	PA	AMERICHOICE (UHC MA PLAN)
10	16523-MD028151E	OTHER	PA	HEALTHPARTNERS
11	3124173	OTHER	PA	ALLIANCE/OPT CHC (MAMSI)
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	0410589000	OTHER	PA	IBC - PC/KHPE
14	350668	OTHER	PA	PHCS

General Provider Information

NPI Number	:	1881635936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNARD H CARLIN MD

Provider Business Mailing Address
First Line	:	PO BOX 789967
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-9967
Country	:	US
Telephone Number	:	484-622-7395
Fax Number	:	484-622-7399

Provider Business Practice Location Address
First Line	:	609 W GERMANTOWN PIKE STE 270
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19403-4243
Country	:	US
Telephone Number	:	610-279-1500
Fax Number	:	610-278-6065

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	10/25/2021

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