Provider Demographics
NPI:1124134457
Name:BERNATH, ALEXANDER SANDOR (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:SANDOR
Last Name:BERNATH
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 1:1117 GALLAGHER
Mailing Address - Street 2:STE 460
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090
Mailing Address - Country:US
Mailing Address - Phone:903-892-5500
Mailing Address - Fax:903-892-3884
Practice Address - Street 1:1117 GALLAGHER
Practice Address - Street 2:STE 460
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090
Practice Address - Country:US
Practice Address - Phone:903-892-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTXG4525208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAB8412140OtherDEA #
TXAB8412140OtherDEA #
C11339Medicare UPIN