Brendan John Bernhart
Prosthodontist
3020 Hamaker Ct Suite 510
Fairfax
, Virginia 22031-2238
Brendan John Bernhart
Prosthodontist
3020 Hamaker Ct Suite 510
Fairfax
, Virginia 22031-2238
(703) 698-1232
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Brendan John Bernhart
- 2140 Wolftrap Ct
- Vienna, VA
- Zip : 22182-5188
- Phone : (703) 698-1232
Second Address
- Brendan John Bernhart
- 3020 Hamaker Ct Suite 510
- Fairfax, VA
- Zip : 22031-2238
- Fax : (703) 645-8002
- Phone : (703) 645-8001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 410514 | VA |
National Provider Identifier
| NPI | 1245458371 |
|---|---|
| Provider Name | Brendan John Bernhart |
| First Address | Vienna, VA 22182-5188 |
| Second Address | Fairfax, VA 22031-2238 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V04290 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.