Individual
MARIA LOURDES BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 SCOUTING CIR, TROY, AL 36081-2540
(334) 770-7337
(334) 440-8508
Mailing address
PO BOX 312, UNION SPRINGS, AL 36089-0312
(334) 738-7337
(334) 513-1665
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22602
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000050990
—
AL
01
—
051050990
BCBS
AL
Enumeration date
08/25/2006
Last updated
09/09/2021
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