MEDICARE: DR. BERNARD PARE' 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
1	207Q00000X	Family Medicine Physician	MD14262	TN

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	:	1881673093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNARD PARE' M.D.

Provider Business Mailing Address
First Line	:	3500 N MOUNT JULIET RD
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-3078
Country	:	US
Telephone Number	:	615-758-5672
Fax Number	:	615-758-5609

Provider Business Practice Location Address
First Line	:	3500 N MOUNT JULIET RD
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-3078
Country	:	US
Telephone Number	:	615-758-5672
Fax Number	:	615-758-5609

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

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	07/09/2007

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