Provider Demographics
NPI:1326083882
Name:SCHMIDT, BERND W (MD)
Entity Type:Individual
Prefix:
First Name:BERND
Middle Name:W
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:5565 W LAS POSITAS BLVD
Mailing Address - Street 2:STE 210
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4001
Mailing Address - Country:US
Mailing Address - Phone:925-460-0312
Mailing Address - Fax:925-460-9989
Practice Address - Street 1:5565 W LAS POSITAS BLVD
Practice Address - Street 2:STE 210
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4001
Practice Address - Country:US
Practice Address - Phone:925-460-0312
Practice Address - Fax:925-460-9989
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2010-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA32751208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA26920Medicare UPIN