Provider Demographics
NPI:1912234329
Name:ELSER, BERNARD I (MD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:I
Last Name:ELSER
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 1:400 E BAY ST
Mailing Address - Street 2:1111
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-2939
Mailing Address - Country:US
Mailing Address - Phone:904-358-6710
Mailing Address - Fax:
Practice Address - Street 1:400 E BAY ST
Practice Address - Street 2:1111
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202-2939
Practice Address - Country:US
Practice Address - Phone:904-358-6710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME23558207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine