NPI 1285897108 · live from the CMS NPI Registry
Robert L Bernard, P.A.
Physician Assistant, Medical in Granite, OK. National Provider Identifier 1285897108, active.
NPI record
| NPI | 1285897108 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1700 E 1st Street, Granite, OK 73547 |
| Practice phone | 580-480-3715 |
| Mailing address | 901 E 1st St, Granite, OK 73547 |
| Enumerated | July 10, 2008 |
| Last updated | July 10, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 482 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.