Individual
PETER JOSEPH BERNHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 WEST RAILROAD STREET, GULFPORT, MS 39503
(228) 864-5155
(228) 864-4417
Mailing address
4500 WEST RAILROAD STREET, GULFPORT, MS 39503
(228) 864-5155
(228) 864-4417
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12089
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112062
—
MS
Enumeration date
10/02/2006
Last updated
07/08/2007
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