Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC003819L | PA |
NPI | 1003878927 |
---|---|
Provider Name | Dr. Brent Hewitt Bernstein |
First Address | Bethlehem, PA 18018-5526 |
Second Address | Bethlehem, PA 18018-5526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 12/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U55700 | (02) | PA |