Healthcare Provider Details

I. General information

NPI: 1497749873
Provider Name (Legal Business Name): GREGORY A BERNATH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 9TH ST N STE 201
NAPLES FL
34102-8143
US

IV. Provider business mailing address

625 9TH ST N STE 201
NAPLES FL
34102-8143
US

V. Phone/Fax

Practice location:
  • Phone: 239-261-2000
  • Fax:
Mailing address:
  • Phone: 239-261-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4301052125
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: