Provider Demographics
NPI:1720215759
Name:HUNWICK, BERNARD BARTON III (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:BARTON
Last Name:HUNWICK
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:BERNARD
Other - Last Name:HUNWICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1290 W HORIZON RIDGE PKWY
Mailing Address - Street 2:APT 511
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5500
Mailing Address - Country:US
Mailing Address - Phone:310-428-6591
Mailing Address - Fax:
Practice Address - Street 1:1290 W HORIZON RIDGE PKWY
Practice Address - Street 2:APT 511
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5500
Practice Address - Country:US
Practice Address - Phone:310-428-6591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01069616A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine