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Individual

DANIEL G BERCU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
80 HOSPITAL DR, BARBOURVILLE, KY 40906-7363
(606) 546-4175
Mailing address
505 CHURCH ST APT 2402, NASHVILLE, TN 37219-3614
(615) 981-2945

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02366
KY
207P00000X
Emergency Medicine Physician
1660
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000388887
BCBS
KY
05
009938016
AL
05
009941836
AL
05
3319479
TN
01
4102763
BCBS
TN
05
64023666
KY
01
P00235725
RAILROAD MEDICARE
TN
01
P00358034
RAILROAD MEDICARE
KY
Enumeration date
06/06/2006
Last updated
04/03/2019
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