Healthcare Provider Details

I. General information

NPI: 1396746285
Provider Name (Legal Business Name): VIERA BERNAT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 12/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 ROCKSIDE WOODS BLVD N SUITE 425
INDEPENDENCE OH
44131-2366
US

IV. Provider business mailing address

6100 ROCKSIDE WOODS BLVD N SUITE 425
INDEPENDENCE OH
44131-2366
US

V. Phone/Fax

Practice location:
  • Phone: 216-643-2780
  • Fax: 216-524-0111
Mailing address:
  • Phone: 216-643-2780
  • Fax: 216-524-0111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35048551
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number35048551
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: