MEDICARE: DR. LARRY MICHAEL BERNHARD DPM

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	213E00000X	Podiatrist	00591	MD
2	213ES0103X	Foot & Ankle Surgery Podiatrist	00591	MD

General Provider Information

NPI Number	:	1922080290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY MICHAEL BERNHARD DPM

Provider Business Mailing Address
First Line	:	PO BOX 452
Second Line	:
City	:	ARNOLD
State	:	MD
Zip	:	21012-0452
Country	:	US
Telephone Number	:	410-960-3084
Fax Number	:	410-349-9818

Provider Business Practice Location Address
First Line	:	446 COLONIAL RIDGE LN
Second Line	:
City	:	ARNOLD
State	:	MD
Zip	:	21012-2390
Country	:	US
Telephone Number	:	410-960-3084
Fax Number	:	410-349-9818

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	09/11/2025

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