Provider Demographics
NPI:1902068687
Name:BERNHARD, DAVID J
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:BERNHARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 MORGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-5152
Mailing Address - Country:US
Mailing Address - Phone:956-428-4158
Mailing Address - Fax:956-412-1122
Practice Address - Street 1:1129 MORGAN BLVD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5152
Practice Address - Country:US
Practice Address - Phone:956-428-4158
Practice Address - Fax:956-412-1122
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23484183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist