DR. MARC RICHARD BERNBACH DPM NPI 1538149463

NPI Information

NPI: 1538149463
Provider Name: DR. MARC RICHARD BERNBACH, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
171 GRANDVIEW AVE
SUITE 104
WATERBURY, CT
ZIP 06708
Phone: (203) 753-2048
Get Directions

DR. Marc Richard Bernbach, DPM is a podiatrist in Waterbury, CT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Marc Richard Bernbach, DPM NPI is 1538149463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

171 GRANDVIEW AVE
SUITE 104
WATERBURY, CT
ZIP 06708-517
Phone: (203) 753-2048
Fax: (203) 753-5891

The enumeration date for this NPI number is 1/18/2006 and was last updated on 11/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		000447	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	409031	MEDICAID	CONNECTICUT
2	T23154	MEDICARE UPIN	CONNECTICUT
3	C01386	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »