Elliot Gan Hong Bernadel-Huey, R.P.T.
Individual provider Active NPI Physical Therapist · Union City, CA
NPI 1386781979 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386781979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 9341 (CA)
- Practice address
- 30116 Eigenbrodt Way
Union City, CA 94587-1225 - Phone
- (510) 675-6620
- Fax
- (510) 675-5956
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 9341 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 9341 | CA | Yes |
Addresses
Primary practice location
30116 Eigenbrodt Way
Union City, CA 94587-1225
Mailing address
30116 Eigenbrodt Way
Union City, CA 94587-1225
Phone (510) 675-6620
Other providers in Union City, CA
- Richard Joseph Beaulieu
- Waania Beg
- Darlene Behr
- Lydia Benjamin-Ajani
- Arnold C Berman
- Christopher Bernal Valdepena
- Layton Makuwaki Berwick
- Maryangela S Henry Berwick
- Gurbeer Sandhu Bhatti
- Bhawna Gupta Dental Group Inc
All providers in Union City, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.