Provider Demographics
NPI:1396035556
Name:TAWFIK, BERNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:
Last Name:TAWFIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 BRADBURY DR SE STE 2222
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4375
Mailing Address - Country:US
Mailing Address - Phone:505-272-1320
Mailing Address - Fax:505-272-8060
Practice Address - Street 1:UNM COMPREHENSIVE CANCER CENTER MSC07 4025
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131
Practice Address - Country:US
Practice Address - Phone:505-272-4946
Practice Address - Fax:505-925-0100
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3447207RH0003X
NMMD2018-0664207RH0003X, 207R00000X
NC2014-00380207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1396035556OtherMEDCOST
NC1396035556OtherTRICARE
NC4873989OtherAETNA
NC1396035556Medicaid
NCP01368327OtherRAILROAD MEDICARE
NC1869ZOtherBCBS
NCQ80014OtherSC MEDICAID
NC5116058OtherUNITED HEALTHCARE
NC5116058OtherUNITED HEALTHCARE