Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 442 | WA |
Y | 222Z00000X | Podiatrist | 442 | WA |
N | 213EP0504X | Public Medicine | 442 | WA |
N | 213EP1101X | Primary Podiatric Medicine | 442 | WA |
N | 111NR0200X | Radiology | 442 | WA |
N | 213ER0200X | Radiology | 442 | WA |
N | 2081S0010X | Sports Medicine | 442 | WA |
N | 213ES0000X | Sports Medicine | 442 | WA |
N | 213ES0103X | Foot & Ankle Surgery | 442 | WA |
N | 213ES0131X | Foot Surgery | 442 | WA |
NPI | 1932308913 |
---|---|
Provider Name | Dr. David M Bernstein |
First Address | Bremerton, WA 98310-3037 |
Second Address | Bremerton, WA 98310-3037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 02/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1058965 | (05) | WA |
4253751 | AETNA (01) | |
8920BE | REGENCE (01) | |
BB2416205 | SEA (01) | |
U11465 | (02) | WA |