Simmons, Bernard Russell

Simmons, Bernard Russell is an individual health care provider with primary practice located at 2737 Warm Springs Rd Ste A , Columbus GA 31904-5328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Simmons, Bernard Russell can be contacted via phone (706) 324-0662.

Contact Information

Primary practice address
2737 Warm Springs Rd Ste A Columbus GA 31904-5328
Fax: (706) 324-7821
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 014564 Georgia

Profile Details

NPI number 1316055916
LBN Legal business name Simmons, Bernard Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1316055916 NPPES
Georgia MEDICAID 00219986D

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