EVENTURE DULDULAO BERNARDINO (NPI# 1447248232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447248232 |
| Entity Type | Individual |
| Full Name | EVENTURE DULDULAO BERNARDINO |
| Credential | MD |
| Practice Address |
6297 Dixie Hwy Bridgeport MI 48722-9635 |
| Mailing Address |
501 Lapeer Health Delivery Inc Saginaw MI 48607-1208 |
| Practice Telephone | 9897596460 |
| Practice Fax Number | 9897596465 |
| Mailing Telephone | 9897596464 |
| Mailing Fax Number | 9893998233 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2016-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301068741 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1447248232 | 05 | |
| MI | COMMUNITY CHOICE | 159 | 01 |
| HCAP | 381908328 | 01 | |
| PPOM | 381908328 | 01 | |
| BLUE CARE NETWORK OF MICH | P101711 | 01 | |
| RAILROAD MEDICARE | 080179045 | 01 | |
| FIRST HEALTH | 381908328 | 01 | |
| HEALTH ADVANTAGE PPO | 1010674 | 01 | |
| MOLINA HEALTH CARE OF MIC | 4336750 | 01 | |
| MCLAREN HEALTH PLAN | 1010674 | 01 | |
| GREAT LAKES HEALTH PLAN | 11812 | 01 | |
| UNDER | 381908328 | 01 | |
| MI | BCBS | 080G310660 | 01 |
| AETNA | 5128736 | 01 | |
| HEALTHPLUS OF MICHIGAN | 0985019 | 01 | |
| MI | 4336750 | 05 |
| Street Address |
6297 DIXIE HWY |
| City | BRIDGEPORT |
| State | MI |
| Zip Code | 48722-9635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447500137 | Amanda Graham | Nurse Practitioner | 6297 Dixie Hwy, Bridgeport, MI 48722-9635 | 2012-09-11 |
| 1649547266 | Karen Marie Ford | Social Worker | 6297 Dixie Hwy, Bridgeport, MI 48722-9635 | 2011-11-28 |
| 1811985674 | Jill W Holwerda | Nurse Practitioner | 6297 Dixie Hwy, Bridgeport, MI 48722-9635 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584305 | Ryan Abraham Labean | Behavior Technician | 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722 | 2020-10-06 |
| 1760787360 | Melinda Eve Bierlein | Physical Therapist | 5460 W. Rolling Hills Drive, Bridgeport, MI 48722 | 2011-01-13 |
| 1376016261 | Guidepost Counseling Services, Pllc | Counselor | 7274 Dixie Hwy, Bridgeport, MI 48722 | 2019-01-03 |
| 1497098594 | Nicole Marie Judson | Physical Therapist | 5460 W Rolling Hills Dr, Bridgeport, MI 48722 | 2013-03-27 |
| 1659600377 | Kevin J Luptowski | Counselor | 6379 Dixie Hwy, Bridgeport, MI 48722 | 2009-12-08 |
| 1255472114 | Boettcher Home Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 6230 Dixie Hwy, Bridgeport, MI 48722-9513 | 2007-02-12 |
| 1356308480 | Bridgeport Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 6226 Dixie Hwy, Bridgeport, MI 48722-9513 | 2006-05-01 |
| 1114917242 | Bridgeport Pharmacy Inc | Pharmacist | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2005-10-28 |
| 1922581131 | Midmichigan Rx Services LLC | Pharmacy | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2018-09-13 |
| 1184120990 | Hemang Vinodchandra Patel | Pharmacist | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2018-04-02 |
| Find all providers in zip 48722 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1013395755 | Clinisanitas, PC | Family Medicine | 4543 Main St, Bridgeport, CT 06606-1818 | 2015-05-14 |
| 1982941431 | Razia Sultana Hashmi | Family Medicine | 115 Highland Ave, Bridgeport, CT 06604-3549 | 2013-01-03 |
| 1508025594 | Awais Malik | Family Medicine | 754 Clinton Ave, Bridgeport, CT 06604-2301 | 2008-06-04 |
| 1508062423 | Bridgeport Family Practice Obgyn Clinic | Family Medicine | 615 Kendall Ave, Bridgeport, AL 35740 | 2007-06-26 |
| 1760505887 | Vinai Montricul | Family Medicine | 47910 Al Highway 277, Bridgeport, AL 35740-7206 | 2007-04-06 |
| 1942341060 | Zijad Sabovic | Family Medicine | 3000 Park Ave, Bridgeport, CT 06604-1105 | 2007-02-09 |
| 1538207295 | Bridgeport Family Health LLC | Family Medicine | 1381 Reservoir Avenue, Bridgeport, CT 06606-2502 | 2007-02-02 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 48722 |
Please comment or provide details below to improve the information on EVENTURE DULDULAO BERNARDINO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.