Individual
TIMOTHY G. BERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
(808) 243-2308
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
46399
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
MD-18902
HI
207X00000X
Orthopaedic Surgery Physician
MD00041733
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715904
—
AZ
05
—
8324311
—
WA
01
—
AB35582
MEDICARE ID
WA
01
—
Z154775
MEDICARE ID
AZ
Enumeration date
03/15/2006
Last updated
03/15/2019
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