Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 35-042321 | OH |
NPI | 1033158217 |
---|---|
Provider Name | Dr. Howard L Bernie |
First Address | Hamilton, OH 45013-2716 |
Second Address | Hamilton, OH 45013-2716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 11/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0480199 | (05) | OH |
060001019 | RR MEDICARE (01) | OH |
100005700 | (05) | IN |
64203011 | (05) | KY |
B96556 | (02) | OH |