Provider Demographics
NPI:1376538967
Name:BERNART, DONALD CHRISTOPHER (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:CHRISTOPHER
Last Name:BERNART
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:CHRISTOPHER
Other - Middle Name:
Other - Last Name:BERNART
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:238 E DAVIE ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-1808
Mailing Address - Country:US
Mailing Address - Phone:919-788-5334
Mailing Address - Fax:919-788-5336
Practice Address - Street 1:4505 FAIR MEADOWS LN
Practice Address - Street 2:STE 204
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6465
Practice Address - Country:US
Practice Address - Phone:919-788-5334
Practice Address - Fax:919-788-5336
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101667363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant