Provider Demographics
NPI:1477579456
Name:PERLMAN, BERNARD H (MD)
Entity Type:Individual
Prefix:
First Name:BERNARD
Middle Name:H
Last Name:PERLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 CHURCH HILL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:ME
Mailing Address - Zip Code:04263-3418
Mailing Address - Country:US
Mailing Address - Phone:207-524-3501
Mailing Address - Fax:
Practice Address - Street 1:25 HOSPITAL DR STE A
Practice Address - Street 2:
Practice Address - City:BRIDGTON
Practice Address - State:ME
Practice Address - Zip Code:04009-1167
Practice Address - Country:US
Practice Address - Phone:207-647-2311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD18122207R00000X
FLME119992207R00000X
ME018122207R00000X
MA77549207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
043369730OtherFIRST HEALTH RAILROAD MED
ME433988299Medicaid
7677469OtherAETNA
043369730OtherPRIVATE HEALTHCARE SYSTEM
077549OtherTUFTS
66677OtherHARVARD PILGRIM
J13518OtherBLUE CROSS
077549OtherTUFTS
7677469OtherAETNA
ME433988299Medicaid