MEDICARE: TODD S BERNSTEIN 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	208100000X	Physical Medicine & Rehabilitation Physician	MD034700E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	171446328	OTHER		TRICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407824766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD S BERNSTEIN MD

Provider Business Mailing Address
First Line	:	1800 LOMBARD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1414
Country	:	US
Telephone Number	:	215-662-3529
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 LOMBARD ST
Second Line	:	1 GROUND WHITE BUILDING
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1414
Country	:	US
Telephone Number	:	215-662-3529
Fax Number	:

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	06/17/2015

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Directions to “ TODD S BERNSTEIN MD” Practice Location

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