Doctor Name: | DR. BRENT HEWITT BERNSTEIN |
NPI Number: | 1003878927 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC003819L |
Business Practice Address: | 303 W Broad St Bethlehem, PA - 180185526 |
Business Phone Number: | 6109970408 |
Business Fax Number: | 6108659458 |
Mailing Address: | 303 W Broad St, BETHLEHEM |
State: | PA |
Postal Code: | 180185526 |
Phone Number: | 6109970408 |
Fax Number: | 6108659456 |
NPI Enumeration Date: | 04/05/2006 |
NPI Last Update Date: | 01/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC003819L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |