1639174022 NPI number — DR. BERNARD K FEINMAN OD

Table of content: DR. BERNARD K FEINMAN OD (NPI 1639174022)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639174022 NPI number — DR. BERNARD K FEINMAN OD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FEINMAN
Provider First Name:
BERNARD
Provider Middle Name:
K
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
OD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639174022
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/16/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
614 MONONGAHELA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLASSPORT
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15045-1650
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-673-6577
Provider Business Mailing Address Fax Number:
412-673-5720

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
614 MONONGAHELA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLASSPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15045-1650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-673-6577
Provider Business Practice Location Address Fax Number:
412-673-5720
Provider Enumeration Date:
06/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  OEG000481 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 092570 . This is a "PA BCBS HIGHMARK OF PA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 306738 . This is a "UPMC PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 180003885 . This is a "RETIRED RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 35446 . This is a "ADVANTRA/HEALTH AMERICA, INC/HEALTH ASSURANCE PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com