Individual
BERNARD PATRICK CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 BLACKFORD ST, CHATTANOOGA, TN 37403-1405
(423) 778-6011
(865) 539-8008
Mailing address
PO BOX 633819, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD29114
TN
208000000X
Pediatrics Physician
MD29114
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD29114
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3815012
—
TN
01
—
4104252
BCBS OF TENNESSEE
TN
Enumeration date
07/11/2006
Last updated
11/21/2007
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