Individual
EDWARD JOSEPH BERNACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(833) 882-2737
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
46926
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
D42162
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
588271100
—
MD
Enumeration date
04/25/2006
Last updated
07/21/2020
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