Provider Demographics
NPI:1982346672
Name:BERNING, CHANTAL MARI (MD)
Entity type:Individual
Prefix:DR
First Name:CHANTAL
Middle Name:MARI
Last Name:BERNING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHANTAL
Other - Middle Name:MARI
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 PRESTIGE PL STE 550
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-6115
Mailing Address - Country:US
Mailing Address - Phone:937-762-1306
Mailing Address - Fax:937-522-7017
Practice Address - Street 1:825 N MAIN ST STE 140
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-2100
Practice Address - Country:US
Practice Address - Phone:937-762-5000
Practice Address - Fax:937-522-9824
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.154437207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine