Individual
THOMAS L BERNASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
(813) 972-5055
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
(813) 972-5055
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0051151
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME51151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04448
BCBS OF FL
FL
05
—
046438400
—
FL
01
—
213020
AVMED
FL
01
—
240001744
MEDICARE RR
FL
01
—
3258493
CIGNA
FL
01
—
4213501
AETNA
FL
Enumeration date
06/16/2005
Last updated
03/26/2025
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