Bernens, Matthew Donald
Bernens, Matthew Donald is an individual health care provider with primary practice located at 600 Gresham Dr Ste 8630 , Norfolk VA 23507-1904. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bernens, Matthew Donald can be contacted via phone (757) 388-6115.Contact Information
Primary practice address
600 Gresham Dr Ste 8630
Norfolk VA 23507-1904
Phone: (757) 388-6115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101255467 | Virginia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 0101255467 | Virginia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0101255467 | Virginia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101255467 | Virginia |
Profile Details
| NPI number | 1083913339 |
|---|---|
| LBN Legal business name | Bernens, Matthew Donald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2011 |
| Last updated | Jun 29th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083913339 | NPPES |
| Virginia | Other | 10130540 | OPTIMA HEALTH |
| Virginia | MEDICAID | 1083913339 | OPTIMA HEALTH |
| Virginia | Other | 1083913339 | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | 520691 | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | MEDICAID | 1083913339 | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | -028 | OPTIMA HEALTH |
| Virginia | Other | 1083913339 | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | 1083913339 | OPTIMA HEALTH |
| Virginia | Other | 1083913339 | OPTIMA HEALTH |
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