Provider Demographics
NPI:1255444980
Name:FRANKEL, BERNARD LEONARD (MD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:LEONARD
Last Name:FRANKEL
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 1:1365 CLIFTON RD NE
Mailing Address - Street 2:SUITE 6100-B
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-5231
Mailing Address - Fax:404-778-4655
Practice Address - Street 1:1365 CLIFTON RD NE
Practice Address - Street 2:SUITE 6100-B
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-5231
Practice Address - Fax:404-778-4655
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA439402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAC62321Medicare UPIN
GA26BDGJDMedicare ID - Type UnspecifiedMEDICARE