Provider Demographics
NPI:1043217458
Name:BERLAND, JERRY E (MD)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:E
Last Name:BERLAND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5901A PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:STE 500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5382
Mailing Address - Country:US
Mailing Address - Phone:404-256-1507
Mailing Address - Fax:404-250-0440
Practice Address - Street 1:5995 BARFIELD RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4411
Practice Address - Country:US
Practice Address - Phone:404-256-1507
Practice Address - Fax:404-250-0440
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2021-03-08
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Provider Licenses
StateLicense IDTaxonomies
GA045397207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA3146OtherCOVENTRY
GA00791909FMedicaid
GA180033858OtherRR MEDICARE
GA328787OtherWELLCARE
GA13137OtherCOVENTRY PPO
GA582209517OtherWORK COMP
GA0816345OtherUHC
GA10040682OtherAMERIGROUP
GA863814OtherBCBS
GA5528131OtherAETNA
GA00791909EMedicaid
GA2060975OtherAETNA HMO
GA701836OtherBCBS
GA13137OtherCOVENTRY PPO
GA00791909FMedicaid
GA328787OtherWELLCARE
1078920002Medicare NSC