Provider Demographics
NPI:1285705129
Name:BERNACKI FAMILY PRACTICE AND WELLNESS CENTER, RPLLC
Entity type:Organization
Organization Name:BERNACKI FAMILY PRACTICE AND WELLNESS CENTER, RPLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDONNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-422-6500
Mailing Address - Street 1:521 GREENFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15207-1091
Mailing Address - Country:US
Mailing Address - Phone:412-422-6500
Mailing Address - Fax:412-422-4357
Practice Address - Street 1:521 GREENFIELD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15207-1091
Practice Address - Country:US
Practice Address - Phone:412-422-6500
Practice Address - Fax:412-422-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty