Provider Demographics
NPI:1003068248
Name:BROWNSTEIN, BERNARD ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:ALAN
Last Name:BROWNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2115 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:VILLANOVA
Mailing Address - State:PA
Mailing Address - Zip Code:19085-1733
Mailing Address - Country:US
Mailing Address - Phone:610-525-5113
Mailing Address - Fax:610-525-1780
Practice Address - Street 1:2115 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:VILLANOVA
Practice Address - State:PA
Practice Address - Zip Code:19085-1733
Practice Address - Country:US
Practice Address - Phone:610-525-5113
Practice Address - Fax:610-525-1780
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018471E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine