Dr. Matthew Donald Bernens
Internist Pulmonary Disease Critical Care Medicine
600 Gresham Dr Ste 8630
Norfolk
, Virginia 23507-1904
Dr. Matthew Donald Bernens
Internist Pulmonary Disease Critical Care Medicine
600 Gresham Dr Ste 8630
Norfolk
, Virginia 23507-1904
(757) 446-5242
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Matthew Donald Bernens
- Po Box 936 Evms Medical Group
- Norfolk, VA
- Zip : 23501-0936
- Fax : (757) 446-5242
- Phone : (757) 446-8920
Second Address
- Dr. Matthew Donald Bernens
- 600 Gresham Dr Ste 8630
- Norfolk, VA
- Zip : 23507-1904
- Phone : (757) 388-6115
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 0101255467 | VA |
| N | 111NI0900X | Internist | 0101255467 | VA |
| N | 207RC0200X | Critical Care Medicine | 0101255467 | VA |
| Y | 207RP1001X | Pulmonary Disease | 0101255467 | VA |
National Provider Identifier
| NPI | 1083913339 |
|---|---|
| Provider Name | Dr. Matthew Donald Bernens |
| First Address | Norfolk, VA 23501-0936 |
| Second Address | Norfolk, VA 23507-1904 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2011 |
| Last Update Date | 29/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| -028 | TRICARE/CHAMPUS (01) | VA |
| 10130540 | OPTIMA HEALTH (01) | VA |
| 1083913339 | (05) | NC |
| 1083913339 | (05) | VA |
| 1083913339 | CIGNA (01) | VA |
| 1083913339 | COVENTRY NETWORK (01) | VA |
| 1083913339 | UNITED HEALTHCARE (01) | VA |
| 1083913339 | VIRGINIA PREMIER HEALTH PLAN (01) | VA |
| 520691 | ANTHEM BC/BS (01) | VA |
| PAR | AETNA (01) | VA |
| PAR | CORVEL (01) | VA |
| PAR | MULTIPLAN (01) | VA |
| PAR | USA MANAGED CARE (01) | VA |
| PAR | VIRGINIA HEALTH NETWORK (01) | 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.