Provider Demographics
NPI:1851333587
Name:BERNSTEIN, MARC (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 2209
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70459
Mailing Address - Country:US
Mailing Address - Phone:985-649-2700
Mailing Address - Fax:985-649-2950
Practice Address - Street 1:901 GAUSE BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458
Practice Address - Country:US
Practice Address - Phone:985-649-2700
Practice Address - Fax:985-649-2950
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA016053174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1357421Medicaid
LA1357421Medicaid
51211Medicare PIN