Kenneth Bannerman, MD FACC
Internal Medicine, Cardiovascular Disease in Bloomfield, New Jersey
1619969623- Practice location
- 1310 Broad St, Bloomfield, NJ 07003-3009
- Phone
- 973-338-0800
- Fax
- 973-338-1140
- Last updated
- July 12, 2007
Kenneth Bannerman is an Internal Medicine, Cardiovascular Disease based in Bloomfield, NJ. Kenneth Bannerman practices in Bloomfield, NJ and has the professional credentials of MD FACC. The NPI Number for Kenneth Bannerman is 1619969623 and holds a License No. 66554 (NJ). The current practice location address for Kenneth Bannerman is 1310 Broad St, Bloomfield, NJ 07003-3009 and can be reached out via phone at 973-338-0800 and via fax at 973-338-1140.
Provider Profile Details
- NPI Number
- 1619969623
- Provider Name
- Kenneth Bannerman
- Credential
- MD FACC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1310 Broad St, Bloomfield, NJ 07003-3009
- Phone Number
- 973-338-0800
- Fax Number
- 973-338-1140
- Primary Taxonomy
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 16, 2005
- Last Update Date
- July 12, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1310 Broad St
Bloomfield, NJ 07003-3009 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3009
- Phone Number
- 973-338-0800
- Fax Number
- 973-338-1140
Provider Business Mailing Address Details
- Address
- 1310 Broad St
Bloomfield, NJ 07003-3009 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3009
- Phone Number
- 973-338-0800
- Fax Number
- 973-338-1140
License Information
- License Number (1)
- 66554
- License State (1)
- NJ
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 66554
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kenneth Bannerman, MD FACC?
The NPI number of Kenneth Bannerman, MD FACC is 1619969623. It was assigned on August 16, 2005 and is currently active in the NPPES registry.
What is the specialty of Kenneth Bannerman, MD FACC?
Kenneth Bannerman, MD FACC is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NJ under license number 66554.
Where does Kenneth Bannerman, MD FACC practice?
The practice location is 1310 Broad St, Bloomfield, NJ 07003-3009. The office can be reached at 973-338-0800 (phone) or 973-338-1140 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619969623 directly on the NPPES registry website.