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NPI Code Detail

MEDICARE: DAVID A BERNITSKY MD

MEDICARE:   DAVID A BERNITSKY  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
1207W00000XOphthalmology Physician88122NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NM010346OTHERBCBS

General Provider Information

NPI Number : 1851384861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A BERNITSKY MD
Provider Business Mailing Address
First Line : 6401 HOLLY AVENUE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87113-1735
Country : US
Telephone Number : 505-323-0800
Fax Number : 505-323-6221
Provider Business Practice Location Address
First Line : 6401 HOLLY AVENUE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87113-1735
Country : US
Telephone Number : 505-323-0800
Fax Number : 505-323-6221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 02/13/2018

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Directions to “ DAVID A BERNITSKY MD” Practice Location

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