Provider Demographics
NPI:1497749873
Name:BERNATH, GREGORY A (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:A
Last Name:BERNATH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 9TH ST N STE 201
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-8143
Mailing Address - Country:US
Mailing Address - Phone:239-261-2000
Mailing Address - Fax:
Practice Address - Street 1:625 9TH ST N STE 201
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-8143
Practice Address - Country:US
Practice Address - Phone:239-261-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301052125207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI382074554OtherTAX ID
MI060F16016OtherBCBS
MI0F16016004Medicare ID - Type Unspecified
MI1842528Medicaid
MI382125186OtherTAX ID FOR WEST MICHIGAN HEART
MIB48913OtherPRIORITY HEALTH
MI060F160160OtherBLUE CARE NETWORK
MIGB052125OtherBCBS INDIVIDUAL
MIB48913Medicare UPIN
MI382074554109Medicaid
MI060010764Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MI101842528Medicaid