Provider Demographics
NPI:1376812875
Name:BERNARD, ZACHARY KENNETH (DC)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:KENNETH
Last Name:BERNARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 PARKWOOD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4574
Mailing Address - Country:US
Mailing Address - Phone:972-781-2800
Mailing Address - Fax:972-608-9680
Practice Address - Street 1:2845 PARKWOOD BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4574
Practice Address - Country:US
Practice Address - Phone:972-781-2800
Practice Address - Fax:972-608-9680
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor