Provider Demographics
NPI:1801163704
Name:BERNHARD, STEVEN MARSHALL (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARSHALL
Last Name:BERNHARD
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 1:4371 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6253
Mailing Address - Country:US
Mailing Address - Phone:561-775-4900
Mailing Address - Fax:561-775-0003
Practice Address - Street 1:4371 NORTHLAKE BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6253
Practice Address - Country:US
Practice Address - Phone:561-775-4900
Practice Address - Fax:561-775-0003
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-19
Last Update Date:2023-05-31
Deactivation Date:2023-01-09
Deactivation Code:
Reactivation Date:2023-05-31
Provider Licenses
StateLicense IDTaxonomies
FLCH 10127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor