Healthcare Provider Details

I. General information

NPI: 1801091814
Provider Name (Legal Business Name): SARAH E BERNARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH EMILY FRANKEN MD

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 04/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E BROADWAY SUITE 100
COLUMBIA MO
65201
US

IV. Provider business mailing address

1601 E. BROADWAY SUITE 100
COLUMBIA MO
65201
US

V. Phone/Fax

Practice location:
  • Phone: 573-443-8796
  • Fax: 573-875-3949
Mailing address:
  • Phone: 573-443-8796
  • Fax: 573-875-3949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2010003842
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: