DR. MERVIN DALE TERRELL M.D.
NPI 1043202856
Internal Medicine - Geriatric Medicine in Pine Bluff, AR

Active since August 17, 2005
1220 W 42ND AVE, PINE BLUFF, AR 71603(870) 541-0013(870) 541-0014 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mervin Dale Terrell M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MERVIN DALE TERRELL M.D. (NPI 1043202856) is an individual geriatric medicine provider in Pine Bluff, Arkansas, licensed in Arkansas (E3820) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1043202856
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. MERVIN DALE TERRELLCredential: M.D.
Location Address1220 W 42ND AVEPine Bluff, AR 71603-7109
Mailing Address1220 W 42nd AvePine Bluff, AR 71603-7109 · (870) 541-0013 · Fax (870) 541-0014
Fax(870) 541-0014
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateMarch 13, 2017
NPI 1043202856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in AR · E3820
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1220 W 42ND AVE, Pine Bluff, AR 71603

Other Identifiers 4

Medicaid150188001AR
Medicare UPINA14076AR
Other5M697AR · Blue Cross Blue Shield
Medicare PIN5M690AR

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
1220 W 42ND AVE
PINE BLUFF, AR 71603
Internal Medicine
1220 W 42ND AVE
PINE BLUFF, AR 71603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mervin Terrell's NPI number?

The NPI number for Mervin Terrell is 1043202856. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Mervin Terrell located?

Mervin Terrell practices at 1220 W 42nd Ave, Pine Bluff, AR 71603. The listed phone number is (870) 541-0013.

What is Mervin Terrell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Mervin Terrell was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.