Provider Demographics
NPI:1023217049
Name:BERA-MILLER, NATHALIE (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHALIE
Middle Name:
Last Name:BERA-MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NATHALIE
Other - Middle Name:
Other - Last Name:BERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2303 CAMINO RAMON STE 208
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1392
Mailing Address - Country:US
Mailing Address - Phone:925-658-0464
Mailing Address - Fax:888-807-4046
Practice Address - Street 1:2303 CAMINO RAMON STE 208
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1392
Practice Address - Country:US
Practice Address - Phone:925-658-0464
Practice Address - Fax:888-807-4046
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG756702083P0901X
CAG0756702083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine