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NPI Code Detail

MEDICARE: MRS. BEATRICE ALEXANDRA BERNHART PA-C

MEDICARE: MRS. BEATRICE ALEXANDRA BERNHART PA-C
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
1363AM0700XMedical Physician Assistant2004004155MO

General Provider Information

NPI Number : 1740452564
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BEATRICE ALEXANDRA BERNHART PA-C
Provider Business Mailing Address
First Line : 520 S ELM AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3845
Country : US
Telephone Number : 314-645-4434
Fax Number : 314-645-3801
Provider Business Practice Location Address
First Line : 520 S ELM AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3845
Country : US
Telephone Number : 314-645-4434
Fax Number : 314-645-3801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2008
Last Update Date : 03/01/2022

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Directions to “ MRS. BEATRICE ALEXANDRA BERNHART PA-C” Practice Location

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