Provider Demographics
NPI:1598056673
Name:BERNSTEIN, GREGORY ROSS (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:ROSS
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:19000 33RD AVE W STE 230
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4752
Mailing Address - Country:US
Mailing Address - Phone:425-977-4620
Mailing Address - Fax:425-745-9836
Practice Address - Street 1:11027 MERIDIAN AVE N STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-1705
Practice Address - Country:US
Practice Address - Phone:206-365-4492
Practice Address - Fax:206-368-3456
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2019-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60767726207RG0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine