MEDICARE: DAVID HERSCHEL BERNS 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	2085R0202X	Diagnostic Radiology Physician	MD418672	PA
2	2085R0202X	Diagnostic Radiology Physician	ME88321	FL
3	2085R0202X	Diagnostic Radiology Physician	036109015	IL
4	2085R0202X	Diagnostic Radiology Physician	234435	NY
5	2085R0202X	Diagnostic Radiology Physician	01059855A	IN
6	2085R0202X	Diagnostic Radiology Physician	4301082825	MI
7	2085R0202X	Diagnostic Radiology Physician	46402-020	WI
8	2085R0202X	Diagnostic Radiology Physician	21796	WV
9	2085R0202X	Diagnostic Radiology Physician	051210	OH

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	:	1518924737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID HERSCHEL BERNS MD

Provider Business Mailing Address
First Line	:	37115 MILES RD
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44022-2338
Country	:	US
Telephone Number	:	216-299-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	37115 MILES RD
Second Line	:
City	:	MORELAND HILLS
State	:	OH
Zip	:	44022-2338
Country	:	US
Telephone Number	:	216-514-1199
Fax Number	:

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	09/13/2022

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Directions to “ DAVID HERSCHEL BERNS MD” Practice Location

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