Provider Demographics
NPI:1518198522
Name:HARVEY H. BERNSTEIN MDSC
Entity Type:Organization
Organization Name:HARVEY H. BERNSTEIN MDSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-466-2290
Mailing Address - Street 1:6400 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2156
Mailing Address - Country:US
Mailing Address - Phone:414-466-2290
Mailing Address - Fax:414-466-5804
Practice Address - Street 1:6400 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2156
Practice Address - Country:US
Practice Address - Phone:414-466-2290
Practice Address - Fax:414-466-5804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000002965Medicare PIN
WIB51531Medicare UPIN