Provider Demographics
NPI:1760657704
Name:BERNDT, THOMAS BERNARD (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:BERNARD
Last Name:BERNDT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3124
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85271-3124
Mailing Address - Country:US
Mailing Address - Phone:480-941-8433
Mailing Address - Fax:480-941-0833
Practice Address - Street 1:7607 E MCDOWELL RD
Practice Address - Street 2:SUITE 114
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-3603
Practice Address - Country:US
Practice Address - Phone:480-941-8433
Practice Address - Fax:480-941-0833
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ111N00000X111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner