Bernice Anderson, DO
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Midland, TX
NPI 1689667602 · NPPES record last updated Sep 18, 2015
Key facts
- NPI
- 1689667602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- H9489 (TX)
- Practice address
- 2200 W Illinois Ave
Midland, TX 79701-6407 - Phone
- (432) 685-1111
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Sulphur Springs Emergency Physicians | Past | Accepting new patients | |
| Alliance Hospital, LTD | Past | Accepting new patients | |
| Midland Emergency Management PLLC | Emergency Medical Services | Past | Accepting new patients |
| Anesthesia Medical Group of the Permian Basin, LLP | Past | Accepting new patients | |
| Midland County Hospital District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | H9489 | TX | Yes |
Addresses
Primary practice location
2200 W Illinois Ave
Midland, TX 79701-6407
Mailing address
PO Box 5718
Norman, OK 73070-5718
Phone (866) 321-8433
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140270338 | Medicaid | TX |
Other providers in Midland, TX
- Amy M Ice, PLLC
- Anand Cholia MD PA
- Jennifer Susan Andersen
- Sidney Michelle Andersen
- Abigail Anderson
- Susan K Anderson
- Sydney Anne Anderson
- Andrew C Collins
- Anesthesia Medical Group of the Permian Basin, LLP
- Casey Lynn Angell
All providers in Midland, TX · Emergency Medical Services (Emergency Medicine) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2015. 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.