Provider Demographics
NPI:1336116961
Name:BERNARD, FRANK (ATC, CSCS, PES)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:BERNARD
Suffix:
Gender:M
Credentials:ATC, CSCS, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 19TH AVE
Mailing Address - Street 2:APT. 308
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-1467
Mailing Address - Country:US
Mailing Address - Phone:650-570-5305
Mailing Address - Fax:
Practice Address - Street 1:1011 BROADWAY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4019
Practice Address - Country:US
Practice Address - Phone:510-986-5713
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer