Provider Demographics
NPI:1649203944
Name:HERING, BERNHARD JOSEF (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNHARD
Middle Name:JOSEF
Last Name:HERING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE STREET SE
Mailing Address - Street 2:MMC 195 UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-5150
Mailing Address - Fax:612-625-8496
Practice Address - Street 1:516 DELAWARE STREET SE
Practice Address - Street 2:PWB FIRST FLOOR, CLINIC 1E, UNIV. OF MINN. PHYSICIANS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN40469207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1907402OtherARAZ
MN123267OtherUCARE
MN33-11116OtherMEDICA CHOICE & PRIMARY
MN604497200Medicaid
MN11G99HEOtherBCBS
MNHP28907OtherHEALTHPARTNERS
MN33-11116OtherMEDICA CHOICE & PRIMARY
MN604497200Medicaid