Provider Demographics
NPI:1477579456
Name:PERLMAN, BERNARD H (MD)
Entity type:Individual
Prefix:DR
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 1:226 HARVARD AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-4605
Mailing Address - Country:US
Mailing Address - Phone:318-331-4736
Mailing Address - Fax:
Practice Address - Street 1:226 HARVARD AVE STE 3
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-4605
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:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD18122207R00000X
MA77549207R00000X, 207R00000X
ME018122207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
077549OtherTUFTS
043369730OtherFIRST HEALTH RAILROAD MED
66677OtherHARVARD PILGRIM
043369730OtherPRIVATE HEALTHCARE SYSTEM
ME433988299Medicaid
7677469OtherAETNA
J13518OtherBLUE CROSS
077549OtherTUFTS
7677469OtherAETNA
ME433988299Medicaid