Individual
DR. TIMOTHY N BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695
(530) 666-1631
(530) 668-4777
Mailing address
632 W GIBSON RD, WOODLAND, CA 95695
(530) 666-1631
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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