Provider Demographics
NPI:1225074503
Name:BERNSTINE, EARL W (DO)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:W
Last Name:BERNSTINE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6340
Mailing Address - Fax:717-851-6349
Practice Address - Street 1:3550 CONCORD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8626
Practice Address - Country:US
Practice Address - Phone:717-851-6340
Practice Address - Fax:717-851-6349
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S007655L2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA263462000OtherMAGELLAN
PA001579263Medicaid
PA125017OtherVALUE OPTIONS
PA243543OtherMAMSI
PA260041325OtherMEDICARE RAILROAD
PA687055OtherBC/BS OF MD CARE FIRST
PA859624OtherPA BLUE SHIELD
PA02163102OtherCAPITAL BLUE CROSS
PA2019253OtherCIGNA BEHAVIORAL HEALTH
PA859624Medicare PIN
PA260041325OtherMEDICARE RAILROAD