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NPI Code Detail

MEDICARE: MR. MATTHEW BERNSTEIN M.D.

MEDICARE: MR. MATTHEW BERNSTEIN M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianLL31869SC

Other Identifiers

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

General Provider Information

NPI Number : 1699903898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW BERNSTEIN M.D.
Provider Business Mailing Address
First Line : PO BOX 30309
Second Line :
City : CHARLESTON
State : SC
Zip : 29417-0309
Country : US
Telephone Number : 866-801-7177
Fax Number : 843-566-8780
Provider Business Practice Location Address
First Line : 606 BLACK RIVER RD
Second Line :
City : GEORGETOWN
State : SC
Zip : 29440-3304
Country : US
Telephone Number : 843-527-7171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2009
Last Update Date : 06/05/2026

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