Kimberly C Berni MD LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

103702 Issued in MO

Legal business name

KIMBERLY C BERNI MD LLC

Practice address

10890 Veterans Memorial Pkwy
Lake St Louis, MO 63367-1475

Phone

(636) 561-6710

Fax

(636) 625-1601

NPI assigned

Aug 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Crawford Berni, MD

Title

President

Phone

(636) 561-6710

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1568618494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10890 VETERANS MEMORIAL PKWY",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671475",
            "telephone_number": "636-561-6710",
            "fax_number": "636-625-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10890 VETERANS MEMORIAL PKWY",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671475",
            "telephone_number": "636-561-6710",
            "fax_number": "636-625-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY C BERNI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "BERNI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CRAWFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-561-6710",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MO",
            "license": "103702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Anne Juengst, LPC
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• Kathleen M. Kloeckner, ANP-BC

• Urology Physician in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Urology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.