Provider Demographics
NPI:1881635936
Name:CARLIN, BERNARD H (MD)
Entity Type:Individual
Prefix:
First Name:BERNARD
Middle Name:H
Last Name:CARLIN
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:PO BOX 789967
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-9967
Mailing Address - Country:US
Mailing Address - Phone:484-622-7395
Mailing Address - Fax:484-622-7399
Practice Address - Street 1:609 W GERMANTOWN PIKE STE 270
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4243
Practice Address - Country:US
Practice Address - Phone:610-279-1500
Practice Address - Fax:610-278-6065
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028151E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00178952/DC5012OtherRRM
PA0597566OtherCIGNA HMO/PPO
PA0019403OtherAETNA HMO
PA0410589000OtherAMERIHEALTH/INTERCOUNTY
PA588631OtherHIGHMARK BLUE SHIELD
PA4203809OtherAETNA PPO
PA1027759OtherKEYSTONE MERCY
PA10924178OtherCAQH ID#
PA0160582801OtherAMERICHOICE (UHC MA PLAN)
PA16523-MD028151EOtherHEALTHPARTNERS
PA3124173OtherALLIANCE/OPT CHC (MAMSI)
PA0016058280003Medicaid
PA0410589000OtherIBC - PC/KHPE
PA350668OtherPHCS
PA588631GFHMedicare ID - Type UnspecifiedHGSA
PA0019403OtherAETNA HMO