Provider Demographics
NPI:1669898086
Name:TONEY, BERNARD JR (DMSC, PA-C)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:
Last Name:TONEY
Suffix:JR
Gender:M
Credentials:DMSC, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10210 MAPLE GLEN CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1671
Mailing Address - Country:US
Mailing Address - Phone:808-425-0800
Mailing Address - Fax:
Practice Address - Street 1:2401 E ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-0004
Practice Address - Country:US
Practice Address - Phone:808-425-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAMD 635363A00000X
DCPA200001939363A00000X
MDC0008416363A00000X
VA0110006620363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant