MEDICARE: DR. HARRY N BERNARD D.P.M. LTD

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	213ES0103X	Foot & Ankle Surgery Podiatrist	016002736	IL

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

General Provider Information

NPI Number	:	1174653554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARRY N BERNARD D.P.M. LTD

Provider Business Mailing Address
First Line	:	34 GREEN NUMBER 4 DR
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-3336
Country	:	US
Telephone Number	:	618-322-4579
Fax Number	:	636-947-5498

Provider Business Practice Location Address
First Line	:	34 GREEN NUMBER 4 DR
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-3336
Country	:	US
Telephone Number	:	618-322-4579
Fax Number	:	636-947-5498

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

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	04/14/2011

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