Healthcare Provider Details

I. General information

NPI: 1780791905
Provider Name (Legal Business Name): MONICA ELIZABETH BERNER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 05/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 N PARK AVE
HELENA MT
59601-2702
US

IV. Provider business mailing address

731 STUART ST
HELENA MT
59601-2658
US

V. Phone/Fax

Practice location:
  • Phone: 406-447-3569
  • Fax:
Mailing address:
  • Phone: 406-457-9358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number8760
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: