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Individual
DR. TIMOTHY N BERNARD
Active
Individual
DR. TIMOTHY N BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E24210
BLUE SHIELD
CA
05
—
000E24211
—
CA
01
—
480018216
RR MEDICARE
CA
01
—
P00745140
MEDICARE RAILROAD CARRIER
CA
Enumeration date
07/19/2006
Last updated
03/04/2010
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