Provider Demographics
NPI:1861420218
Name:ROJAS, BERNARDO A (MD)
Entity type:Individual
Prefix:DR
First Name:BERNARDO
Middle Name:A
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BERNARDO
Other - Middle Name:ALMIRO
Other - Last Name:ROJAS HAITER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:663 SHEPARDBUSH ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-5551
Mailing Address - Country:US
Mailing Address - Phone:248-709-2515
Mailing Address - Fax:
Practice Address - Street 1:645 BARCLAY CIR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5804
Practice Address - Country:US
Practice Address - Phone:248-829-1956
Practice Address - Fax:248-289-1871
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301035543207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3225372Medicaid
MI3225372Medicaid
A77821Medicare UPIN