Provider Demographics
NPI:1952491722
Name:ADAMI, BERNARD F (MD)
Entity Type:Individual
Prefix:
First Name:BERNARD
Middle Name:F
Last Name:ADAMI
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 1:2225 PEGGY LANE
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042
Mailing Address - Country:US
Mailing Address - Phone:972-272-8525
Mailing Address - Fax:972-487-6481
Practice Address - Street 1:2225 PEGGY LANE
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042
Practice Address - Country:US
Practice Address - Phone:972-272-8525
Practice Address - Fax:972-487-6481
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD9388207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX034503501Medicaid
TX034503501Medicaid
00KM39Medicare ID - Type Unspecified