Mark Otto Bernardy in Conyers - Diagnostic Radiology
Mark Otto Bernardy - NPI 1861478588
Mark Otto Bernardy is a Diagnostic Radiology in Conyers, Georgia. Mark Otto Bernardy practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mark Otto Bernardy is 1861478588. The last update date is 2008-02-29.
Mark Otto Bernardy's current location address is 1031 Jimson Dr Se, Conyers, Georgia. You can contact this provider via phone number 8008796274 and fax number 6783422547. The mailing address for Mark Otto Bernardy is 1031 Jimson Dr Se, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Otto Bernardy |
|---|---|
| Address | 1031 Jimson Dr Se, Conyers, Georgia |
| Phone Number | 8008796274 |
| Fax Number | 6783422547 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861478588 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2008-02-29 |
Provider Mailing Address Detail
| Address | 1031 Jimson Dr Se |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 300132064 |
| Phone Number | 8008796274 |
| Fax Number | 6783422547 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 28502 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00256142 | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Otto Bernardy by the Centers for Medicare & Medicaid Services?
The Mark Otto Bernardy has been issued the NPI (National Provider Identifier) 1861478588 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mark Otto Bernardy is physically located?
The Mark Otto Bernardy is situated at the following address: 1031 Jimson Dr Se, Conyers, GA 300132064.
What is Mark Otto Bernardy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Otto Bernardy is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
When did Mark Otto Bernardy receive its 1861478588 assignment?
The Mark Otto Bernardy was assigned its 1861478588 on 2005-12-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mark Otto Bernardy most recently updated or revised?
The information pertaining to Mark Otto Bernardy, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-29.
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