Healthcare Provider Details

I. General information

NPI: 1083624464
Provider Name (Legal Business Name): SCOTT L BERNSTEIN, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9458 E IRONWOOD SQUARE DR STE 102
SCOTTSDALE AZ
85258-4571
US

IV. Provider business mailing address

9458 E IRONWOOD SQUARE DR STE 102
SCOTTSDALE AZ
85258-4571
US

V. Phone/Fax

Practice location:
  • Phone: 480-767-7699
  • Fax: 480-767-7547
Mailing address:
  • Phone: 480-767-7699
  • Fax: 480-767-7547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number24610
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number24610
License Number StateAZ

VIII. Authorized Official

Name: DR. SCOTT L BERNSTEIN
Title or Position: PRESIDENT
Credential: MD
Phone: 480-767-7699