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NPI Code Detail

MEDICARE: DR. ANTHONY J BERNI M.D.

MEDICARE:  DR. ANTHONY J BERNI  M.D.
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
1207X00000XOrthopaedic Surgery Physician103624MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1115065OTHERMOBLUE CROSS BLUE SHIELD
2SP17697OTHERCIGNA
3384663OTHERHEALTHLINK
430186V3458OTHERGHP/ADVANTRA
5901011OTHERUHC
69221OTHEREXCLUSIVE CHOICE
76091V6097OTHERHEALTHCARE USA

General Provider Information

NPI Number : 1710980875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY J BERNI M.D.
Provider Business Mailing Address
First Line : 9323 PHOENIX VILLAGE PKWY
Second Line :
City : O FALLON
State : MO
Zip : 63368-4281
Country : US
Telephone Number : 636-561-0871
Fax Number :
Provider Business Practice Location Address
First Line : 9323 PHOENIX VILLAGE PKWY
Second Line :
City : O FALLON
State : MO
Zip : 63368-4281
Country : US
Telephone Number : 636-561-0871
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 11/17/2023

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