MEDICARE: DR. DOUGLAS A BERNARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	05302R	LA
2	2083X0100X	Occupational Medicine Physician	05302R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114942307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS A BERNARD MD

Provider Business Mailing Address
First Line	:	510 JEFFERSON TERRACE BLVD
Second Line	:	SUITE A
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-4948
Country	:	US
Telephone Number	:	337-365-8161
Fax Number	:	337-365-0294

Provider Business Practice Location Address
First Line	:	510 JEFFERSON TERRACE BLVD
Second Line	:	SUITE A
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-4948
Country	:	US
Telephone Number	:	337-365-8161
Fax Number	:	337-365-0294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	08/26/2008

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Directions to “ DR. DOUGLAS A BERNARD MD” Practice Location

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