MEDICARE: DR. HENRI SIEGFRIED BERNARD 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	207W00000X	Ophthalmology Physician	4301025888	MI

General Provider Information

NPI Number	:	1871704593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRI SIEGFRIED BERNARD MD

Provider Business Mailing Address
First Line	:	5321 W BLOOMFIELD LAKE RD
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2411
Country	:	US
Telephone Number	:	248-481-9790
Fax Number	:	248-481-9790

Provider Business Practice Location Address
First Line	:	5321 W BLOOMFIELD LAKE RD
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2411
Country	:	US
Telephone Number	:	248-481-9790
Fax Number	:	248-481-9790

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

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	12/07/2025

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