Healthcare Provider Details

I. General information

NPI: 1497218788
Provider Name (Legal Business Name): ABIGAIL LYNN BERNARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 W. COUNTY LINE ROAD
LITTLETON CO
80129
US

IV. Provider business mailing address

3031 OLD CLINIC BUILDING CB 7570
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 303-794-0045
  • Fax:
Mailing address:
  • Phone: 984-974-8017
  • Fax: 984-974-8020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2023-00680
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number0077614
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: