Provider Demographics
NPI:1184084832
Name:BANKERT, JASON GERALD (DO)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:GERALD
Last Name:BANKERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:175 MEADOWBROOK LN
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-8445
Mailing Address - Country:US
Mailing Address - Phone:814-693-0300
Mailing Address - Fax:
Practice Address - Street 1:175 MEADOWBROOK LN
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-8445
Practice Address - Country:US
Practice Address - Phone:814-693-0300
Practice Address - Fax:814-693-0400
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS021061207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology