John Paul Bernard, MD

Individual provider Active NPI Pediatrics Physician · Oklahoma City, OK

NPI 1871753418 · NPPES record last updated Jun 16, 2008

Key facts

NPI
1871753418
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
26542 (OK)
Practice address
1200 Everett Dr FL 10
Oklahoma City, OK 73104-5047
Phone
(405) 271-4417
NPI assigned
Jun 16, 2008
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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26542OKMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26542 OK Yes

Addresses

Primary practice location

1200 Everett Dr FL 10
Oklahoma City, OK 73104-5047

Mailing address

1200 Everett Dr FL 10
Oklahoma City, OK 73104-5047
Phone (405) 271-4417

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Pediatrics Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.