Provider Demographics
NPI:1467505362
Name:BERNHARD, WILLIAM N (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:N
Last Name:BERNHARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1430 CARPENTERS POINT RD
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21903-2015
Mailing Address - Country:US
Mailing Address - Phone:410-642-3111
Mailing Address - Fax:
Practice Address - Street 1:2624 FAIRVIEW PT RD. BLDG E 6814
Practice Address - Street 2:AVIATION MEDICINE CLINIC
Practice Address - City:EDGEWOOD (APG)
Practice Address - State:MD
Practice Address - Zip Code:21040
Practice Address - Country:US
Practice Address - Phone:410-436-6570
Practice Address - Fax:410-436-6598
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD000064762083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine