Provider Demographics
NPI:1659373975
Name:O'NEILL, BERNARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:J
Last Name:O'NEILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 14623
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-4623
Mailing Address - Country:US
Mailing Address - Phone:610-988-8446
Mailing Address - Fax:610-988-4242
Practice Address - Street 1:301 S 7TH AVE
Practice Address - Street 2:STE 320
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1451
Practice Address - Country:US
Practice Address - Phone:610-988-4656
Practice Address - Fax:610-988-4242
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD018085E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA179866Medicare ID - Type Unspecified
PAD56965Medicare UPIN