Dr. Wilfrido D Bernardo
General Practice Physician
130 Lebanon Hwy Suite B
Carthage
, Tennessee 37030-2955
Dr. Wilfrido D Bernardo
General Practice Physician
130 Lebanon Hwy Suite B
Carthage
, Tennessee 37030-2955
(615) 735-5451
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Wilfrido D Bernardo
- Po Box 176
- Carthage, TN
- Zip : 37030-0176
- Fax : (615) 735-5451
- Phone : (615) 735-0700
Second Address
- Dr. Wilfrido D Bernardo
- 130 Lebanon Hwy Suite B
- Carthage, TN
- Zip : 37030-2955
- Fax : (615) 735-5451
- Phone : (615) 735-0700
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Is Dr. Wilfrido D Bernardo a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 11479 | TN |
National Provider Identifier
| NPI | 1003801887 |
|---|---|
| Provider Name | Dr. Wilfrido D Bernardo |
| First Address | Carthage, TN 37030-0176 |
| Second Address | Carthage, TN 37030-2955 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2005 |
| Last Update Date | 05/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3170708 | (05) | TN |
| B03418 | (02) |
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.