Provider Demographics
NPI:1942256136
Name:HUNT, BERNARD J (DO)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:J
Last Name:HUNT
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1444 FLORIDA AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4400
Mailing Address - Country:US
Mailing Address - Phone:209-524-1264
Mailing Address - Fax:
Practice Address - Street 1:3615 JACK NORTHRUP AVE STE 100
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2025-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6381207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G05069Medicare UPIN