Provider Demographics
NPI:1396040366
Name:BERNSTEIN, MARC L (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:L
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2089 HAWTHORNE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2301
Mailing Address - Country:US
Mailing Address - Phone:941-365-6556
Mailing Address - Fax:941-365-6678
Practice Address - Street 1:2089 HAWTHORNE ST STE 200
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-365-6556
Practice Address - Fax:941-365-6678
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME137780207RG0100X
PAMD444512207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology