Healthcare Provider Details

I. General information

NPI: 1982346672
Provider Name (Legal Business Name): CHANTAL MARI BERNING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHANTAL MARI MURPHY MD

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 N MAIN ST STE 140
SPRINGBORO OH
45066-2100
US

IV. Provider business mailing address

1 PRESTIGE PL STE 550
MIAMISBURG OH
45342-6115
US

V. Phone/Fax

Practice location:
  • Phone: 937-762-5000
  • Fax: 937-522-9824
Mailing address:
  • Phone: 937-762-1306
  • Fax: 937-522-7017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.154437
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: