MEDICARE: DEVIN BERNA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	172A00000X	Driver
3	253Z00000X	In Home Supportive Care Agency
4	3747P1801X	Personal Care Attendant
5	343900000X	Non-emergency Medical Transport (VAN)
6	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1457019085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVIN BERNA

Provider Business Mailing Address
First Line	:	6432 CLEMATIS DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45449-3012
Country	:	US
Telephone Number	:	937-830-8714
Fax Number	:

Provider Business Practice Location Address
First Line	:	6432 CLEMATIS DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45449-3012
Country	:	US
Telephone Number	:	937-830-8714
Fax Number	:

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

Provider Enumeration Date	:	12/01/2021
Last Update Date	:	12/01/2021

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Directions to “ DEVIN BERNA ” Practice Location

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