Berens, Bruce M

Berens, Bruce M is an individual health care provider with primary practice located at 166 4Th St E , Saint Paul MN 55101-1421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Berens, Bruce M can be contacted via phone (651) 292-2043.

Contact Information

Primary practice address
166 4Th St E Saint Paul MN 55101-1421
Fax: (651) 292-2204
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 33731 Minnesota

Profile Details

NPI number 1811994858
LBN Legal business name Berens, Bruce M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Sep 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811994858 NPPES
Minnesota MEDICAID 1811994858

Popular Providers