Active NPIIndividual provider

Tyler Bernaiche

Surgery in Bangor, Maine

NPI Number1689084725
Practice location
417 State St Ste 330, Bangor, ME 04401-6638
Fax
—
Last updated
October 26, 2020

Tyler Bernaiche is a Surgery based in Bangor, ME. Tyler Bernaiche practices in Bangor, ME. The NPI Number for Tyler Bernaiche is 1689084725 and holds a License No. MD23948 (ME). The current practice location address for Tyler Bernaiche is 417 State St Ste 330, Bangor, ME 04401-6638 and can be reached out via phone at 207-973-8881.

Provider Profile Details

NPI Number
1689084725
Provider Name
Tyler Bernaiche
Provider Entity Type
Individual
Gender
Male
Address
417 State St Ste 330, Bangor, ME 04401-6638
Phone Number
207-973-8881
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2014
Last Update Date
October 26, 2020
Certification Date
October 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
417 State St Ste 330
Bangor, ME 04401-6638
City
Bangor
State
Maine
Zip
04401-6638
Phone Number
207-973-8881
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
43 Whiting Hill RD Ste 300
Brewer, ME 04412-1006
City
Brewer
State
ME
Zip
04412-1006
Phone Number
207-973-5035

License Information

License Number
MD23948
License State
ME
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Tyler Bernaiche?

The NPI number of Tyler Bernaiche is 1689084725. It was assigned on April 29, 2014 and is currently active in the NPPES registry.

What is the specialty of Tyler Bernaiche?

Tyler Bernaiche is registered under the primary taxonomy Surgery (code 208600000X), licensed in ME under license number MD23948.

Where does Tyler Bernaiche practice?

The practice location is 417 State St Ste 330, Bangor, ME 04401-6638. The office can be reached at 207-973-8881 (phone).

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 1689084725 directly on the NPPES registry website.

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