Individual
DR. BERNOLE VALDEZ BATENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 REID PKWY, REID HOSPITAL & HEALTH CARE SERVICES, RICHMOND, IN 47374-1157
(765) 983-3492
(765) 983-7958
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 983-3492
(765) 983-7958
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01076093A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
ANTHEM
—
05
—
PENDING
—
IN
05
—
PENDING
—
OH
Enumeration date
08/04/2013
Last updated
04/24/2026
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