DAVID L. BERNDT DO PA NPI 1740573179

NPI Information

NPI: 1740573179
Provider Name: DAVID L. BERNDT DO PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5930 SW 64TH AVE
DAVIE, FL
ZIP 33314
Phone: (954) 791-7101
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DAVID L. BERNDT DO PA is a primary care clinic center in Davie, FL. DAVID L. BERNDT DO PA NPI is 1740573179. The provider is registered as an organization entity type.

The provider's business location address is:

5930 SW 64TH AVE
DAVIE, FL
ZIP 33314-116
Phone: (954) 791-7101
Fax: (954) 791-2521

The provider's authorized official is Jenny Martinez .
The authorized official title is Medical Assistant and has the following contact phone number (954) 791-7101.

The enumeration date for this NPI number is 5/18/2011 and was last updated on 5/18/2011.

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	261QP2300X	Clinic/Center	Primary Care	OS3372	FLORIDA	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	Other Provider Identifier Issuer
1	81878	OTHER	FLORIDA	BCBS
2	D27332	MEDICARE UPIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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