Provider Demographics
NPI:1073845624
Name:BERNSTEIN, LEONARD DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:DAVID
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12371 E CEDAR CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-1316
Mailing Address - Country:US
Mailing Address - Phone:303-344-9871
Mailing Address - Fax:303-537-8917
Practice Address - Street 1:12371 E CEDAR CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-1316
Practice Address - Country:US
Practice Address - Phone:303-344-9871
Practice Address - Fax:303-537-8917
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16210174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist