Individual
MARC J BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MO101070
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113769
BC/BS MISSOURI
MO
05
—
1336110543
—
MO
05
—
209744317
—
MO
01
—
P01067267
RAILROAD MEDICARE
MO
Enumeration date
01/27/2006
Last updated
04/02/2019
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