Provider Demographics
NPI:1437752581
Name:BERNIER, BRIAN ZACHARY (ND)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ZACHARY
Last Name:BERNIER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1348 S FINLEY RD APT 3S
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4320
Mailing Address - Country:US
Mailing Address - Phone:352-328-2619
Mailing Address - Fax:
Practice Address - Street 1:1348 S FINLEY RD APT 3S
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4320
Practice Address - Country:US
Practice Address - Phone:352-328-2619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath