Individual
BERNARD FRANCIS MASTERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 295-4410
(864) 295-5694
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
18621
SC
2085R0202X
Diagnostic Radiology Physician
18621
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186211
—
SC
01
—
P00821922
RAILROAD MEDICARE
SC
Enumeration date
01/31/2006
Last updated
01/25/2018
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