Provider Demographics
NPI:1609971654
Name:VARICK BERNSTEIN MD LTD
Entity Type:Organization
Organization Name:VARICK BERNSTEIN MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-878-8346
Mailing Address - Street 1:3474 E SADDLE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7231
Mailing Address - Country:US
Mailing Address - Phone:702-878-8346
Mailing Address - Fax:702-259-0205
Practice Address - Street 1:1510 W HORIZON RIDGE PKWY STE 150
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-3503
Practice Address - Country:US
Practice Address - Phone:702-878-8346
Practice Address - Fax:702-259-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10435208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100500467Medicaid
NVD16515Medicare UPIN