Bernhard, Bradley

Bernhard, Bradley is an individual health care provider with primary practice located at 7345 Watson Rd , Saint Louis MO 63119-4405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bernhard, Bradley can be contacted via phone (314) 752-7100.

Contact Information

Primary practice address
7345 Watson Rd Saint Louis MO 63119-4405
Phone: (314) 752-7100
Fax: (314) 752-3284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R8J15 Missouri

Profile Details

NPI number 1538153606
LBN Legal business name Bernhard, Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Mar 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538153606 NPPES
Missouri MEDICAID 203169511

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