Individual
RICHARD H BERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N. SAMUEL MOORE PKWY STE A, STE A, MOORESVILLE, IN 46158-1467
(317) 483-5000
(317) 483-5050
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01069397A
IN
207R00000X
Internal Medicine Physician
01069397A
IN
208000000X
Pediatrics Physician
01069397A
IN
208D00000X
General Practice Physician
Primary
01069397A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100340610
—
IN
05
—
201015210
—
IN
Enumeration date
06/22/2007
Last updated
05/14/2025
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