Healthcare Provider Details

I. General information

NPI: 1295484525
Provider Name (Legal Business Name): RONALD ANTHONY BERNA II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 KING OF PRUSSIA ROAD SUITE 306 SOUTH
RADNOR PA
19087-4557
US

IV. Provider business mailing address

145 KING OF PRUSSIA ROAD SUITE 306 SOUTH
RADNOR PA
19087-4557
US

V. Phone/Fax

Practice location:
  • Phone: 610-902-2400
  • Fax: 610-902-2404
Mailing address:
  • Phone: 610-902-2400
  • Fax: 610-902-2404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD489211
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: