Healthcare Provider Details

I. General information

NPI: 1659471241
Provider Name (Legal Business Name): RICHARD A BERNSTEIN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 DEFENSE HWY SUITE 109
ANNAPOLIS MD
21401-7098
US

IV. Provider business mailing address

133 DEFENSE HWY SUITE 109
ANNAPOLIS MD
21401-7098
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-5558
  • Fax: 410-224-7321
Mailing address:
  • Phone: 410-224-5558
  • Fax: 410-224-7321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0033069
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberD0033069
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD0033069
License Number StateMD

VIII. Authorized Official

Name: DR. RICHARD ALLEN BERNSTEIN
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 410-224-5558