Provider Demographics
NPI:1215921994
Name:BERNSTEIN, HAROLD ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:ADAM
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6160 KEMPSVILLE CIR STE 250B
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3933
Mailing Address - Country:US
Mailing Address - Phone:757-481-4400
Mailing Address - Fax:757-481-1285
Practice Address - Street 1:6160 KEMPSVILLE CIR STE 120B
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3933
Practice Address - Country:US
Practice Address - Phone:757-481-4400
Practice Address - Fax:757-481-1285
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101056134207W00000X, 207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010072786Medicaid
H91026Medicare UPIN
VA010072786Medicaid