Provider Demographics
NPI:1215933197
Name:CHANG, BERNARD H (MD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:H
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:335 24TH AVE N STE 600
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1503
Mailing Address - Country:US
Mailing Address - Phone:615-320-7200
Mailing Address - Fax:615-320-7203
Practice Address - Street 1:335 24TH AVE N STE 600
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1503
Practice Address - Country:US
Practice Address - Phone:615-320-7200
Practice Address - Fax:615-320-7203
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38672174400000X
TNMD38672207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7202421OtherCIGNA
TNG72501OtherHEALTHSPRING
TN3717165OtherMEDCAID
TN3779969OtherAETNA
TN4098045OtherBLUE CROSS BLUE SHIELD
TN4098045OtherTENNCARE SELECT
TN4098045OtherBLUE CARE
TN5591489OtherFIRST HEALTH
TN4098045OtherANTHEM
TN1811063OtherUNITED HEALTHCARE
TN3717165OtherMEDCAID
TN5591489OtherFIRST HEALTH