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NPI Code Detail

MEDICARE: BERNHARDT ANDERSON MEDICAL ASSOCIATES INC

MEDICARE: BERNHARDT ANDERSON MEDICAL ASSOCIATES INC
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
1261QM2500XMedical Specialty Clinic/Center7275OK
2207Q00000XFamily Medicine Physician7275OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11174515977OTHEROKNPI # FOR KARIS STEELE,MD
21134111933OTHEROKNPI # FOR ROBERT DICKEYMD
31659363463OTHEROKNPI # FOR ZEMING DENG MD
41356333140OTHEROKNPI # FOR -WM BERNHARDT
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265525919
Entity Type Code : Organization
Provider Name (Legal Business Name) : BERNHARDT ANDERSON MEDICAL ASSOCIATES INC
Provider Business Mailing Address
First Line : 2801 PARKLAWN DRIVE
Second Line : SUITE 101
City : MIDWEST CITY
State : OK
Zip : 73110-4211
Country : US
Telephone Number : 405-737-6691
Fax Number : 405-737-7723
Provider Business Practice Location Address
First Line : 2801 PARKLAWN DRIVE
Second Line : SUITE 101
City : MIDWEST CITY
State : OK
Zip : 73110-4211
Country : US
Telephone Number : 405-737-6691
Fax Number : 405-737-7723
Authorized Official
Title or Position : PRESIDENT PHYSICIAN
Name : DR. WILLIAM GENE BERNHARDT
Credential : MD
Telephone Number : 405-737-6691
Provider Enumeration Date : 10/02/2006
Last Update Date : 06/08/2011

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