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NPI Code Detail

MEDICARE: BERNARD MURRAY II

MEDICARE:   BERNARD  MURRAY II
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
1104100000XSocial Worker
2207W00000XOphthalmology Physician3744TN
3390200000XStudent in an Organized Health Care Education/Training Program
4152W00000XOptometrist009852NY

General Provider Information

NPI Number : 1346647922
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARD MURRAY II
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10933 71ST RD STE 2C
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4800
Country : US
Telephone Number : 929-281-2774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2014
Last Update Date : 07/24/2024

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