Provider Demographics
NPI:1295834331
Name:EVERS, BERNARD MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:MARK
Last Name:EVERS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:UNIVERSITY OF KENTUCKY MARKEY CANCER CTR
Mailing Address - Street 2:800 ROSE ST, CC140 ROACH
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0093
Mailing Address - Country:US
Mailing Address - Phone:859-323-6542
Mailing Address - Fax:859-323-2074
Practice Address - Street 1:UNIVERSITY OF KENTUCKY MARKEY CANCER CTR
Practice Address - Street 2:800 ROSE ST, CC140 ROACH
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0093
Practice Address - Country:US
Practice Address - Phone:859-323-6542
Practice Address - Fax:859-323-2074
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2020-06-01
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Provider Licenses
StateLicense IDTaxonomies
KY233812086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135551304Medicaid
TX135551304Medicaid
TX83051NMedicare ID - Type Unspecified