Individual
ERIC H BERNICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2030 MOUNTAIN VIEW AVE STE 540, LONGMONT, CO 80501-3183
(720) 494-7110
(720) 494-7111
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
DR.0070375
CO
207RX0202X
Medical Oncology Physician
H9796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132473302
—
TX
05
—
132473307
—
TX
05
—
132473309
—
TX
01
—
88Z530
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
12/27/2005
Last updated
03/07/2024
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