BERNICE ANDERSON


Address: 2200 W Illinois Ave, Midland, TX 79701-6407
Phone: 4326851111

BERNICE ANDERSON (NPI# 1689667602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689667602
Entity Type Individual
Full Name BERNICE ANDERSON
Credential DO
Practice Address 2200 W Illinois Ave
Midland
TX 79701-6407
Mailing Address Po Box 5718
Norman
OK 73070-5718
Practice Telephone 4326851111
Mailing Telephone 8663218433
Enumeration Date 2005-08-24
Last Update Date 2015-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
H9489 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 140270338 05

Office Location

Street Address 2200 W ILLINOIS AVE
City MIDLAND
State TX
Zip Code 79701-6407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538166913 Elizabeth Kay Williams Physical Therapist 2200 W Illinois Ave, Midland, TX 79701-6407 2005-06-30
1407191182 Permian Emergency Management General Acute Care Hospital 2200 W Illinois Ave, Midland, TX 79701-6407 2012-12-06
1902190564 Newborn Hearing Screens of West Texas Pllc Specialist 2200 W Illinois Ave, Midland, TX 79701-6407 2011-06-01
1912202367 Rhonda K Jagow Nurse Practitioner 2200 W Illinois Ave, Midland, TX 79701-6407 2011-01-17
1427293737 Leslie A Collier Dietitian, Registered 2200 W Illinois Ave, Midland, TX 79701-6407 2008-12-16
1336305192 Rhonda Kiker Carr Dietitian, Registered 2200 W Illinois Ave, Midland, TX 79701-6407 2008-07-31
1649438730 John Ray Blevins Internal Medicine 2200 W Illinois Ave, Midland, TX 79701-6407 2008-05-27
1629144027 Joseph Aaron Cox Nurse Practitioner 2200 W Illinois Ave, Midland, TX 79701-6407 2006-11-28
1134294317 Permian Emergency Management Pllc Hospitalist 2200 W Illinois Ave, Midland, TX 79701-6407 2006-11-22
1285705988 Midland Memorial Hospital General Acute Care Hospital 2200 W Illinois Ave, Midland, TX 79701-6407 2006-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839622 Ryan Alexander Buda Dentist 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 2020-07-30
1003441460 Kendra Denise Alexander Nurse Practitioner 911 West Texas Ave, Midland, TX 79701 2020-03-06
1528531134 Bliss Rankin Dentistry Pllc Dentist 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 2019-01-07
1891209540 Sleep Interventions, LLC Durable Medical Equipment & Medical Supplies 2300 W Michigan Ave Ste 2, Midland, TX 79701 2017-11-16
1457899940 Bonolo Blessed Odirile Dentist 2101 Midland Drive, #14, Midland, TX 79701 2017-02-06
1700235603 Lisa Lozano Dba Credence Counseling Counselor 2114 W. Michigan, Midland, TX 79701 2016-06-10
1578809406 Todd Aaron Stack Physician Assistant 1703 Country Club Drive, Midlad, TX 79701 2012-12-20
1134475080 Kathryn G Blonkvist Physical Therapist 301 Dodson St., Midland, TX 79701 2012-07-30
1487953303 Patricia A Homer Counselor 3416 W Wall St Ste 106, Midland, TX 79701 2011-03-17
1548586415 Thomas Caputo Dentist 1411 W. Wall St., Midland, TX 79701 2010-04-15
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861486888 James L Sikes Emergency Medicine 210 E Longview Ave, Ste A, Midland, TX 79701 2005-09-06
1912991084 Terry L Beck Emergency Medicine 3401 Greenbriar Ste 200, Midland, TX 79707-4653 2005-09-06
1447562863 Gb Medical Group Pllc Emergency Medicine 3401 Greenbriar, Suite 200, Midland, TX 79707-4607 2010-07-14
1144200890 Kyungho S Choi Emergency Medicine 2200 W Illinois Ave, Midland, TX 79701-6407 2006-01-19
1518951342 Lawrence A Wilson Emergency Medicine 2200 W Illinois Ave, Midland, TX 79701-6407 2005-09-08
1871587733 Andrew A Lawrence Emergency Medicine 2200 W Illinois Ave, Midland, TX 79701-6407 2005-09-07
1184618951 Steven D Rea Emergency Medicine 2200 W Illinois Ave, Midland, TX 79701-6407 2005-09-07
1578557468 Jose G Delgado Emergency Medicine 2200 W Illinois Ave, Midland, TX 79701-6407 2005-09-07
1649264631 Edgardo Valle Emergency Medicine 2200 W Illinois Ave, Midland, TX 79701-6407 2005-09-06
1801889993 Midland Emergency Management Pllc Emergency Medicine 2200 W Illinois Ave, Midland, TX 79701-6407 2005-08-24
Find all providers in MIDLAND

Competitor

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City MIDLAND
Zip Code 79701

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Dataset Information

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.

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