DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1164423620

NPI Code Detail

MEDICARE: KEVIN L BERNING MD

MEDICARE: KEVIN L BERNING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	01055645A	IN
2	208200000X	Plastic Surgery Physician	01055645A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164423620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN L BERNING MD

Provider Business Mailing Address
First Line	:	11109 PARKVIEW PLAZA DR # 117
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1701
Country	:	US
Telephone Number	:	260-266-6013
Fax Number	:

Provider Business Practice Location Address
First Line	:	11141 PARKVIEW PLAZA DR STE 300
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1715
Country	:	US
Telephone Number	:	260-490-7111
Fax Number	:	260-490-2286

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	10/15/2022

Similar Medicare Providers

1124029079 — GUY G CREVECOEUR MD
Practice Location Address:

11141 PARKVIEW PLAZA DR STE 300
FORT WAYNE, IN
46845-1715

Practice Phone: 260-490-7111
Practice Fax: 260-490-2286

1194726950 — RAYMOND A. CAVA MD
Practice Location Address:

11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN
46845-1715

Practice Phone: 260-484-9611
Practice Fax: 260-484-1004

1730180597 — MICHAEL W GRABOWSKI MD
Practice Location Address:

11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN
46845-1715

Practice Phone: 260-484-9611
Practice Fax: 260-484-1004

1184625949 — JEFFERY A YODER MD
Practice Location Address:

11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN
46845-1715

Practice Phone: 260-484-9611
Practice Fax: 260-484-1004

1316948920 — JANE M WEAVER MD
Practice Location Address:

11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN
46845-1715

Practice Phone: 260-484-9611
Practice Fax: 260-484-1004

1689675282 — CRAIG T MARKS MD
Practice Location Address:

11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN
46845-1715

Practice Phone: 260-484-9611
Practice Fax: 260-484-1004

Directions to “ KEVIN L BERNING MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.