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NPI Code Detail

MEDICARE: DAVID A. BERNHARDT M.D.

MEDICARE: DAVID A. BERNHARDT 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
1207R00000XInternal Medicine PhysicianG20010CA

General Provider Information

NPI Number : 1720061013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A. BERNHARDT M.D.
Provider Business Mailing Address
First Line : 877 OAK PARK BLVD
Second Line :
City : PISMO BEACH
State : CA
Zip : 93449-3292
Country : US
Telephone Number : 805-474-8450
Fax Number : 805-474-8454
Provider Business Practice Location Address
First Line : 877 OAK PARK BLVD
Second Line :
City : PISMO BEACH
State : CA
Zip : 93449-3292
Country : US
Telephone Number : 805-474-8450
Fax Number : 805-474-8454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 07/09/2007

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Directions to “ DAVID A. BERNHARDT M.D.” Practice Location

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