Provider Demographics
NPI:1538130034
Name:BERNSTEIN, ROBERT C (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:BERNSTEIN
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 1:844 KEMPSVILLE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3927
Mailing Address - Country:US
Mailing Address - Phone:757-261-0700
Mailing Address - Fax:757-261-0701
Practice Address - Street 1:844 KEMPSVILLE RD STE 204
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3927
Practice Address - Country:US
Practice Address - Phone:757-261-0700
Practice Address - Fax:757-261-0701
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044961207RC0001X, 207RA0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0685FOtherNC BC/BS
VA263654OtherUNITED HEALTHCARE/MAMSI
VAPAROtherVIRGINIA HEALTH NETWORK (EVMS HEALTH SERVICES)
VAPAROtherAETNA (EVMS HEALTH SERVICES)
VAPAROtherCORVEL/CORCARE (EVMS HEALTH SERVICES)
VAPAROtherUSA MANAGED CARE (EVMS HEALTH SERVICES)
VAPAROtherCIGNA (EVMS HEALTH SERVICES)
VA-001OtherTRICARE/CHAMPUS
VA15792OtherSENTARA OHP/SHP
VA250371OtherANTHEM BC/BS (EVMS HEALTH SERVICES)
VA006053181Medicaid
VA054003OtherANTHEM BCBS
NC890685FMedicaid
VA006033679Medicaid
VA249507OtherMAMSI
VA15600OtherOPTIMA
VAPAROtherMULTIPLAN (EVMS HEALTH SERVICES)
VAPAROtherVIRGINIA PREMIER HEALTH (EVMS HEALTH SERVICES)
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY (EVMS HEALTH SERVICES)
VA054003OtherANTHEM BCBS
VA006033679Medicaid
VA060019063Medicare PIN
VA006053181Medicaid
VA060000371Medicare PIN