Provider Demographics
NPI:1558320382
Name:VERM, ALAN (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:VERM
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 1:188 MEDICAL PARK DR.
Mailing Address - Street 2:SUITE C
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-3035
Mailing Address - Country:US
Mailing Address - Phone:828-884-7320
Mailing Address - Fax:828-877-6191
Practice Address - Street 1:215 THOMPSON ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2808
Practice Address - Country:US
Practice Address - Phone:828-693-4161
Practice Address - Fax:828-697-1028
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0800285OtherUNITED HEALTHCARE
NC1319MOtherBLUE CROSS/BLUE SHIELD
NC891319MMedicaid
NC1319MOtherBLUE CROSS/BLUE SHIELD
2006813BMedicare ID - Type Unspecified
NC2006813BMedicare PIN