Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0033069 | MD |
Y | 111NI0900X | Internist | D0033069 | MD |
N | 207RA0201X | Internist - Allergy & Immunology | D0033069 | MD |
N | 207RP1001X | Pulmonary Disease | D0033069 | MD |
NPI | 1013106178 |
---|---|
Provider Name | Dr. Richard A Bernstein |
First Address | Annapolis, MD 21401-7098 |
Second Address | Annapolis, MD 21401-7098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2007 |
Last Update Date | 15/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
042M | MEDICARE (01) | MD |
D76856 | (02) | MD |