Individual
MR. ANTHONY ROBERT BERNUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1310 24TH AVE S, SURGICAL SERVICE, NASHVILLE, TN 37212-2637
(615) 873-7235
Mailing address
1310 24TH AVE S, SURGICAL SERVICE, NASHVILLE, TN 37212-2637
(615) 873-7235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA450
TN
363AS0400X
Surgical Physician Assistant
Primary
PA450
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027331
NCCPA CERTIFICATION #
—
01
—
1106613
VHP
TN
05
—
3667115
—
TN
01
—
4060688
BCBS
TN
Enumeration date
09/26/2005
Last updated
01/12/2024
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