Healthcare Provider Details

I. General information

NPI: 1518392513
Provider Name (Legal Business Name): BERNADETTE FLYNN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 09/28/2025
Certification Date: 09/28/2025
Deactivation Date: 10/17/2013
Reactivation Date: 02/26/2014

III. Provider practice location address

2515 JERICO RD
BUCKINGHAM VA
23921-2905
US

IV. Provider business mailing address

2515 JERICO RD
BUCKINGHAM VA
23921-2905
US

V. Phone/Fax

Practice location:
  • Phone: 814-209-8333
  • Fax:
Mailing address:
  • Phone: 814-979-1896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS018497
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102207215
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: